HomeMy WebLinkAbout2019.07.30_Heller_Jeff_Form 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period
l l f'tj ('
through 6/ 5 ell c
Date of election if applicable:
(Month, Day, Year)
1 ( '2—
Date Stamp
RECEIVED
City of Morro Bay
JUL 302019
Administration
COVER PAGE
CALIFORNIA 460
FORM
Page
of
For Official Use Only
1. Type of Recipient Committee: All Committees — C
Officeholder, Candidate Controlled Committee ❑
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
171
omplete Parts 1, 2, 3, and 4.
Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(Also Complete Part 6)
Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
2. Type of Statement:
❑ Preelection Statement
INE Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
❑ Quarterly Statement
❑ Special Odd -Year Report
3. Committee Information I.D. NUMB
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMM ITTE)
CODE
I—i DUrrt)G ' ?4:14 2--
MAILING ADDRESS (IF DIFFERENTWO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
CITY STATE ZIP CODE
NAME OF ASSISTANTTREASUR♦<R, IF ANY
MAILING ADDRESS
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informapn contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury uner the laws of the State of California that the foregoin- `
Executed on - %/
Executed on
Executed on
Executed on
Date
/
Date
Date
Date
By
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
Page of
COVER PAGE - PART 2
CALIFORNIA 460
FORM
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
C�,c.��, cal
(NO. AND STREET) CITY STATE ZIP
1 �nn1 (=4- aj p q
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
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 proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR
y�
l -e.. '7� T, i
CANDIDATE
�"LL
OFFICE SOUGHT OR HELD
1
e t (J
� 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
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
NAME OF FILER
Contributions Received
1. Monetary Contributions
2. Loans Received
3. SUBTOTAL CASH CONTRIBUTIONS
4. Nonmonetary Contributions
5. TOTAL CONTRIBUTIONS RECEIVED
Schedule A, Line 3 $
Schedule B, Line 3
Add Lines 1 + 2 $
Schedule C, Line 3
Add Lines 3 + 4 $
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Expenditures Made
6. Payments Made Schedule E, Line 4 S
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 1, Line 4
15. Cash Payments Column Al 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.
vfi
17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts Add Line 2 + Line 9 in Column B above
Statement covers period
Column B
CALENDAR YEAR
TOTAL TO DATE
$ �1
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
Page of
I.D. NUMBER
Calendar Year Summary for Candidates
Runnong in Both the State Promary 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
(mm/dd/yy)
Total to Date
*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
MonetaryContributions
Received
to whole
dollars.
from
Statement
1/1-717
covers
period
CALIFORNIA 460
FORM
r
through
alM1 l 7
Page
of
SEE
INSTRUCTIONS
ON
REVERSE
}
NAME
OF
FILER
I.D.
NUMBER
RECEIVED
DATE
FULL
NAME,
STREET
(IF
COMMITTEE,
ADDRESS
ALSO
AND
ENTER
ZIP
I.D.
CODE
NUMBER)
OF
CONTRIBUTOR
CONTRIBUTOR
CODE
*
OCCUPATION
(IF
IF
SELF-EMPLOYED,
AN
INDIVIDUAL,
OF
BUSINESS)
AND
EMPLOYER
ENTER
ENTER
NAME
RECEIVED
AMOUNT
PERIOD
THIS
CUMULATIVE
CALENDAR
(JAN.
1
-
DEC.
TO
YEAR
DATE
31)
PER
(IF
TO
REQUIRED)
ELECTION
DATE
IND
❑
COM
OTH
❑
PTY
❑
SCC
n
IND
COM
[�
OTH
PTY
n
SCC
IND
J
COM
OTH
n
PTY
SCC
IND
COM
n
OTH
PTY
nSCC
IND
I
-I
COM
OTH
PTY
SCC
SUBTOTAL $
Schedule Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) $
2 Amount received this period — unitemized monetary contributions of Tess 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
2
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov \��
(866/275-3772)��\
WVV .fppc0^aagov
SCHEDULE
B -PART
1
Amounts
may
be
rounded
Schedule
B Part
1
—
Statement
covers
Loans
Received
to whole
dollars.
period
CALIFORNIA
460
from
FORM
SEE
INSTRUCTIONS
ON
REVERSE
through
Page
of
NAME
OF
FILER
I.D.
NUMBER
FULL
NAME,
(IF
COMMITTEE,
STREET
OF
ALSO
ADDRESS
LENDER
ENTER
AND
I.D.
NUMBER)
ZIP
CODE
OCCUPATION
IF
(IF
AN
SELF-EMPLOYED,
NAME
INDIVIDUAL
OF
AND
BUSINESS)BEGINNING
EMPLOYER
ENTER,:,_
ENTER
OUTSTANDING
BALANCE
PERIOD
THIS
INTEREST
PAID
PERIOD
e)
THIS
AMOUNT
ORIGINAL
LOAN
If)
OF
CONTRIBUTIONS
CUMULATIVE
TO
(g)
DATE
RECEIVED
AMOUNT
PERIOD
(b)
THIS
AMOUNT
OR
THIS
FORGIVEN
(c)
PERIOD
PAID
*
OUTSTANDING
CLOSE
BALANCE
PERIOD
(.)
OF
THIS
AT
$
S
$
J/0
$
CALENDAR
$
YEAR
❑
PAID
$
RATE
$
$
PER
ELECTION**
❑
FORGIVEN
$
t
DATE
DUE
DATE
INCURRED
❑
IND
❑
COM
OTH
❑
PTY
❑
SCC
_
$
$
$
%
$
CALENDAR
$
YEAR
❑
PAID
$
RATE
$
$
PER
ELECTION**
❑
FORGIVEN
$
DATE
DUE
DATE
INCURRED
t
❑
IND
❑
COM
❑
OTH
❑
PTY
❑
SCC
$
$
$-
%
$
CALENDAR
$
YEAR
❑
PAID
$
RATE
$
$
PER
ELECTION**
❑
FORGIVEN
$
DATE
DUE
DATE
INCURRED
t
IND
❑
COM
❑
OTH
❑
PTY
❑
SCC
$ $ $ $
\
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 S100 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
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.
(May be a negative number)
(Enter (e) 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
J
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
to
dollars.
Nonmonetary
Contributions Received
whole
from
Statement
1
i%
`\
vers
f�\
period
CALIFORNIA 460
FORM
through
a
`
sjer/
Page
of
SEE
INSTRUCTIONS
ON
REVERSE
NAME
T�R',
OF
FILER
I.D.
NUMBER
RECEIVED
DATE
FULL
ZIP
NAME,
CODE
STREET
OF
CONTRIBUTOR
ADDRESS
AND
CONTRIBUTOR
CODE
OCCUPATION
IF
(IF
AN
SELF-EMPLOYED
INDIVIDUAL
AND
EMPLOYER
ENTER
ENTER
GOODS
DESCRIPTION
OR
SERVICES
OF
AMOUNT/
FAIR
MARKET
CUMULATIVE
CALENDAR
DATE
YEAR
TO
PER
TO
ELECTION
DATE
(IF
COMMITTEE,
ALSO
ENTER
I.D.
NUMBER)
NAME
OF
BUSINESS)
VALUE
(JAN
1
-
DEC
31)
(IF
REQUIRED)
[-j
IND
COM
n
OTH
PTY
SCC
❑
IND
❑
COM
❑
9-TH
❑
PTY
SCC
❑
IND
nCOM
❑
OTH
PTY
(-I
scc
❑IND
COM
OTH
PTY
❑SCC
Attach
information
labeled
SUBTOTAL
$
,,, ,
,\�\\\� ,,\\�y���,�
additional
on
appropriately
continuation
sheets.
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 $
*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)
FNC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
NAME OF FILER
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
Support LJ Oppose
Support LJ Oppose
Support Oppose
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
Stateent covers period
from
through
AMOUNT THIS
PERIOD
Monetary
Contribution
Nonmonetary
Contribution
Independent
Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Independent
Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Independent
Expenditure
SUBTOTAL $
SCHEDULE D
Page
r
of
I.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
,L\
a
\:\ ,NN:j1:F '1/2b..4\24;\ Z\*IkitHi :NA N:\t: • eNH\
e,. i�
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 $100 S
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2 Do not enter on the Summary Page.) TOTAL$
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
P;:yments Made
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from
1
it /In
through v/i/f9
SCHEDULE E
CALIFORNIA 460
FORM
Page of
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
MBR
MTG
OFC
PET
P HO
P OL
POS
P RO
P RT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
I.D. NUMBER
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
(IF
NAME
COMMITTEE,
AND
ADDRESS
ALSO
ENTER
OF
I.D.
PAYEE
NUMBER)
CODE
OR
DESCRIPTION
OF
PAYMENT
AMOUNT
PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)
2 Unitemized payments made this period of under 5100
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 $
$
$
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE F
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
NAME OF FILER
CODES: If one of the following codes accurately describes the payment, you may enter the code.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
MBR
MTG
OFC
P ET
P HO
POL
POS
PRO
P RT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
Statement cove s period
from
through
Otherwise, describe the payment.
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
Page of
I.D. NUMBER
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
NAME
(IF
COMMITTEE,
AND
ADDRESS
ALSO
ENTER
OF
I.D
CREDITOR
NUMBER)
DESCRIPTION
CODE
OR
OF
PAYMENT
BALANCE
OF
OUTSTANDING
THIS
(a)
BEGINNING
PERIOD
AMOUNT
THIS
(INb)
INCURRED
PERIOD_
_
(ALSO
AMOUNT
THIS
REPORT
(c)
PERIOD
PAID
ON
E)
BALANCE
OF
OUTSTANDING
THIS
(
AT
PERIOD
CLOSE
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D.
SUBTOTALS $
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.) INCURRED TOTALS $
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 5100.) PAOD TO AL S $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) oe.00a000000c0000masamocioGGOGGacoonoGOIIGQsCCLOGYOononoonnOCGOCCC■CCC.■OCGOCCGOCGGODDOOsanoaaCOCGDOCDOCDOOGG GGGOCG acsaOGOoanac000aanaaacumGOOOGGODCGG0900GCOOOEDGCCCannuonC
N E T
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule H
Loans Made to Others*
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
/ft'
from
t
through 1.1
SCHEDULE H
Page
of
NAME OF FILER
Sergre-c-4‘\ ckz‘
FULL NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
LOANED THIS
PERIOD
(c)
REPAYMENT OR
FORGIVENESS
THIS PERIOD*
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
*Loans tftare contributions to another candidate or committee must
also be summarized on Schedule D. Loans forgiven must also be
reported on Schedule E.
SUBTOTALS
$
PAID
S
•
FORGIVEN
S
DATE DUE
$
Schedule H Sum rarry
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 Tess than $100.)
(e)
INTEREST
RECEIVED
oA
RATE
RATE
$
$
(Enter (e) on
Schedule I, Line 3)
I.D. NUMBER
(f)
ORIGINAL
AMOUNT OF
LOAN
$
DATE INCURRED
3. Net change this period (Subtract Line 2 from Line 1.) NET $
(Enter the net here and on the Summary Page, Column A, Line 7.)
(May be a negative number)
DATE INCURRED
(g)
CUMULATIVE
LOANS
TO DATE
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
$
PER ELECTION**
**If Required
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule
Amounts may be rounded
SCHEDULE I
from
Statement
(
overs
f
period
CALIFORNIA 460
FORM
Miscellaneous
SEE
INSTRUCTIONSg
O
N
REVERSE
Increases
to Cash
to
whole
dollars.
through
f
7 st !
Page of
g
NAME
OF
FILER
LCeo.,
I.D.
NUMBER
RECEIVED
DATE
FULL
(IF
COMMITTEE
NAME
AND
ALSO
ADDRESS
ENTER
I.D.
OF
NUMBER)
SOURCE
DESCRIPTION
OF
RECEIPT
INCREASE
AMOUNT
TO
OF
CASH
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
Schedule I Summary
1. Itemized increases to cash this period. $
2 Unitemized increases to cash of under $100 this period.
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).)
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) TOTAL $
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov