HomeMy WebLinkAbout2023.01.24_Costanzo_Form 460 Amend (01.01-04.23.22)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 01/01/2022
through 04/23/2022
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
❑ State Candidate Election Committee Committee
❑ Recall ❑ Controlled
(Also Complete Parts) ❑ Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
❑ Sponsored ❑ Primarily Formed Candidate/
❑ Small Contributor Committee Officeholder Committee
❑ Political Party/Central Committee (Also Complete Part7)
3. Committee Information
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
MORRO BAY CA 93442
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
COSTANZOFORCOUNCIL2022OGMAIL.COM
4. Verification
COVER PAGE
Date Stamp CALIFORNIA ,
•
RECEIVED FORM
City of Morro Bay
Date of election if applicable:
Page I of 11
(Month, Day, Year) JAN 2 4 2023 For Official Use Only
06/07/2022 City Clerk
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
m Amendment (Explain below)
ADDITIONS MISTAKES, AND TRANSPOSED NUMBERS
Treasurer(s)
NAME OF TREASURER
JAMES COSTANZO
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
MORRO ABY CA 93442
NAME OF ASSISTANT TREASURER, IF ANY
NONE
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
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 cor ct.
Executed on 01/13/2023 By �
Date /* Treasurer or Assistant Treasurer
Executed on 01/13/2023
Date
Executed on
Date
Executed on
Date
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, Slate 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
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
JAMES COSTANZO
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
COUNCIL MEMBER CITY OF MORRO BAY
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
MORRO BA CA 93442
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.
NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
(NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 11
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
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 Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers periodCALIFORNIA ,
g 01/01/2022 •
60
from
04/23/2022
Page 3 of l
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
Contributions Received
Column A
TOTALTHIS PERIOD
Column B
CALENDAR YEAR
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions...................................................
Schedule A, Line
$ 4128.00 $
0.00
0.00
0.00
1/1 through 6/30 7/1 to Date
2. Loans Received................................................................
Schedule B, Line 3
412800
0.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
,
$ $
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
585,00
0.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$ 4713.00 $
0.00
Made $ $
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4 $
741.00 $
0.00
7. Loans Made.......................................................................
Schedule H, Line 3
0.00
0.00
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7 $
741.00 $
0.00
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule 1, Line 3
475.00
0.00
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
585.00
0.00
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+9+10 $
1801.00 $
0.00
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.
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 $
0.00
4128.00
0.00
741.00
3387,00
0.00
0.00
475.00
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*
(if Subject to Voluntary Expenditure Limit)
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
I
Schedule A Type or print in ink. SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to
Statement covers p eriod
-
1
whole dollars.
. NIA 460
01 /01 /2022
from
FORM
04/23/2022 h
through
Page 4 of 11
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
DATE
ADDRESSZIP
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
DE O
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
(EET
I.D.N
CODE *
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF•EMPLOYED,ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
[RIND
03/25/22
BARRY F. BRANIN
❑COM
OWNER/PETROQUIP
$500.00
❑OTH
MORRO BAY, CA. 93442
❑ PTY
❑ SCC
[jdIND
03/30/22
TOM ROST
❑COM
OWNER/ROSY
$500.00
❑OTH
CONSULTING
MORRO BAY, CA 93442
❑ PTY
❑ SCC
[RIND
04/01/22
SHANNON G. STEELE
❑COM
RETIRED
$500.00
❑OTH
MORRO BAY CA 93442
❑ PTY
❑ SCC
[RIND
RON REISNOR
RETIRED
04/04/22
❑OTH
$200.00
MORRO BAY CA 93442
❑ PTY
❑ SCC
[RIND
D. ANN REISNOR
❑
RETIRED
04/04/22
❑ TH
OTH
$200.00
MORRO BAY CA 93442
❑ PTY
❑ SCC
SUBTOTAL $ 1900.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) $ $3,300.00
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $ $828.00
3. Total monetary contributions received this period.
Add Lines 1 and 2. Enter here and on the SummaryPage, Column A Line 1.) TOTAL $ $4128.00
"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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
• .
CALIF'
to whole dollars.
NIA
from 01 /01 /2022
• -
through 04/23/2022
Page 5 of 11
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
DATE
DE
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
RECEIVED
QFCOMMITTEE,ALSND .D.N
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
[RIND
ROGER L. EWING
❑COM
RETIRED
04/07/22
❑OTH
$250.00
MORRO BAY CA 93442
❑ PTY
❑SCC
RIND
NANCY BAST
❑ COM
RETIRED
04/06/22
❑OTH
$100.00
MORRO BAY CA 93442
❑ PTY
❑ SCC
RIND
JOHNSON
❑COM
RETIRED
04/12/22
❑OTH
$100.00
MORRO BAY CA 93442
❑ PTY
❑ SCC
[RIND
JIM ZION
❑ COM
RETIRED
0411 /22
❑ OTH
$250.00
MORRO BAY CA 93442
❑ PTY
❑ SCC
RIND
KATHLEEN M. SEMAS
❑ COM
RETIRED
04/13/22
❑OTH
$100.00
MORRO BAY CA 93442
❑ PTY
❑ SCC
SUBTOTAL$ 800.00
*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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.)
Monetary Contributions Received Amounts may be rounded
Statement covers period
CALIFORNIA
to whole dollars.
/ '
from 01 /01 /2022
'
through 04/23/2022
Page of 11
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
DATE
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
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
[RIND
Pauline G. Stansbury
❑COM
RETIRED
04/23/2022
❑OTH
$500.00
Morro Bay93442
❑ PTY
❑ SCC
RIND
Barbara L. Jones
El COM
RETIRED
04/23/2022
❑OTH
$100.00
Morro Bay, CA 93442
❑ PTY
❑ SCC
[RIND
❑ COM
❑ OTH
❑ PTY
❑ SCC
[R IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
R IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ $600.00
*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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)
Schedule C
Type or print In Ink.
RCHFI'I 11 P C
Nonmonetary Contributions Received ~illVto�whole dollars��u�u
Statement covers period
CALIF• - NIA
from 01 /01 /2022
FORM A60
through 04/23/2022
Page 7 of 11
g
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
FAIR MARKET
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
(IF SELF-EMPLOYED, ENTER
GOODS OR SERVICES
VALUE
CALENDAR YEAR
TO DATE
(IF REQUIRED)
NAME OF BUSINESS)
(JAN 1 - DEC 31)
[RIND
Jeff Heller
❑COM
Jeff Heller & Assoc. LLC
PRINT AD Estero
03/30/2022
❑OTH
Bay News
$435.00
Morro Bay, CA 93442
❑ PTY
❑SCC
[RIND
04/06/22
Carole Truesdale
❑COM
Retired
Meet and Greet
$150.00
❑OTH
Fundraiser room
Morro Bay, CA 93442
❑PTY
rental
❑ SCC
downpayment
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ $585,00
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions.
(Include all Schedule C subtotals.)..................................................................................
$ $585.00
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 $
1 11
$585.00
*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 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)
Schedule E Amounts may be rounded
Payments Made to whole dollars.
SEE INSTRUCTIONS ON
NAME OF FILER
FRIENDS OF COSTANZO FOR COUNCIL 2022
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
FIL
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
covers period
from 01/01/2022
through 04/23/2022
SCHEDULE E
Page 8 of 11
1446119
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 PAYEE
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIA SECRETARY OF STATE
FIL
FILING FEE
$50.00
ASAP RETROGRAPHICS
FOAM BOARD SIGN
365 QUINTANA RD
LIT
HANDOUTS
$117.09
MORRO BAY, CA. 93442
ASAP RETROGRAPHICS
365 QUINTANA RD
CMP
POST CARDS
$74.99
MORRO BAY, CA. 93442
` Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 242.08
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 740.98
0.00
2. Unitemized payments made this period of under$100..........................................................................................................................................
$
3. Total interest aid this period on loans. Enter amount from Schedule B Part 1 Column (e)) $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 740.98
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
Type or print in Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 01 /01 /2022
SCHEDULE E (CONT.)
SEE INSTRUCTIONS ON REVERSE
through 04/23/2022
page 9 of 11
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
CODES; If one of the following codes accurately describes the payment, you may enter the code. Otherwise,
describe the payment.
CIVP campaign parephemalia/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
F1L 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
UT 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
THE INN AT MORRO BAY
60 STATE PARK DR
MORRO BAY CA 93442
FND
CANDIDATE MEET AND GREET
CONFERENCE ROOM RENTAL FEE PLUS BEVERAGES
498.90
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 498.90
FPPC Form 460 (January105)
FPPCToll-Free Helpline: 866/ASK-FPPC (866/275-3772)
SCHEDULEF
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 01/01/2022
through 04/23/2022
• ' • '
• -
10 11
Page of
NAME OF FILER
I.D. NUMBER
FRIENDS OF COSTANZO FOR COUNCIL 2022
1446119
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
FIND 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)
(a)
(b)
(c)
(d)
NAME AND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNT INCURRED
AMOUNT PAID
OUTSTANDING
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF PAYMENT
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BALANCE AT CLOSE
OF THIS PERIOD
(ALSO REPORT ON E)
OF THIS PERIOD
VISTA PRINT
CMP
0.00
$475.35
$475.35
275 Waltham, MA 02451
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ $475.35
summarized on Schedule D.
Schedule F Summary
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 $
475.35
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0.00
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.).................................. PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 475.35
onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $
May be a negative number
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Gr:NFr1111 F I
Miscellaneous Increases to Cash Amounts may be rounded
towholedoilars.FORM
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
through
CALIFORNIA
•
Page 1 of
NAME OF FILER _
I.D. NUMBER
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 $ 0.00
Schedule I Summary
1. Itemized Increases to cash this period. $ 0,00
2. Unitemized increases to cash of under 100 this period. .. $ $828.00
3. Total of all interest received this period on loans made to others. Schedule H, Column e . ........ 0.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
SummaryPage, Line 14.).......................................................................................................................... TOTAL $ $828.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)