HomeMy WebLinkAbout2019-01-28 Form 460 - Protect our Neighborhoods..
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ____ 1_1_11_1_8 __ _
12/31/18
through ---------
1. Type of Recipient Committee: All Committees-Complete Parts 1, 2, 3, and 4.
0 Officehold er, Candidate Controlled Committee
0 State Cand id ate Election Committee
0 Recall
(Also Complete PartS)
liZ) General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Centra l Committee
3. Committee Information
COMMITIEE NAME (OR CANDI DATE'S NAME IF
PROTECT OUR NEIGHBORHOODS
STREET ADDRESS (NO P.O. BOX)
0 Primarily Formed Ballot Measure
Committee
0 Controll ed
0 Sponsored
(Also Complete Parl 6)
0 Primarily Formed Candidate/
Officeholder Committee
(Also Complete Parll)
I.D. NUMBER
1374199
CITY
PALM SPRINGS
STATE
CA
ZIP CODE
92262
MAILING ADDR ESS (I F DIFFERENT) NO. A ND ST REET OR P.O. BOX
C ITY STATE ZIP CODE
AREA CODE/PHONE
AREA CODE/PH ON E
Date of election if applicable:
(Month. Day, Year)
•I I I
Date Stam p
:~ L (,I /'. _
. ~ I ,·. L; ~
2019 Jfd1 28 Ai l
I I -
2. Type of Statement:
0 Preelection Statement
0 Semi-annual Statement
GZI Terminatio n Statement
0 Quarterly Statement
0 Special Odd-Year Report
(Als o file a Form 410 Termination)
0 Amendm ent (E xplain below)
Treasurer(s)
NAM E OF TREASURER
MARK W. EDELSTEIN
MAILING ADDRESS
CITY
PALM SPRINGS
NAM E OF ASSISTANT TREASU RER, IF A NY
MAILING ADDRESS
CITY
STATE
CA
STATE
ZIP CODE
92262
ZIP CODE
AREA CODE/PHO NE
AREA CODE/PHONE
OPTIONAL: FAX I E-MAIL ADDRESS
Exec uted on 1/18/19
Dale
Exec uted on
Date
Exec uted on
Dale
Executed on
Date
By
By
By
By
Signature of Controlling Officeholder, Candidate, S tate Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeh older. Candidate, State Measure Proponen t
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
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listanycommlttees
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?
0 YES 0 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?
DYES D NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE -PART 2
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION D SUPPORT
D 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 CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
0 OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT
D 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
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. SUBTOTALCASH PAYMENTS .......................................... AddLines6+7 $
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F. Line 3
1 0. 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.
17. LOAN GUARANTEES RECEIVED................................ Schedule B, Patt 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 $
Amounts may be rounded
to whole dollars.
ColumnA
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
SUMMARY PAGE
Statement covers period
1/1/18 from ________ _
CALIFORNIA 460
FORM
12/31/18 through--------Page of __ _
Column B
CALENDAR YEAR
TOTAL TO DATE
$ 0.00
0.00
$ 0.00
0.00
$ 0.00
$ 0.00
0.00
$ 0.00
0.00
0.00
$ 0.00
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).
J.D. NUMBER
1374199
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 0.00 0.00 Received $ $
21. Expenditures
Made $ 0.00 $ 0.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Umlt)
Date of Election
(mmlddlyy)
-'-'--
-'-'--
Total to Date
$ 0.00 ------
$ 0.00 -----
*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
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE. ALSO ENTER I. D. NUMBER) CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
Schedule A Summary
OIND
0COM
DOTH
DPTY
Osee
DIND
0COM
DOTH
DPTY
Osee
DIND
DcoM
DoTH
DPTY
Osee
DIND
0COM
DOTH
DPTY
Osee
DIND
0COM
DOTH
DPTY
Osee
SUBTOTAL$
SCHEDULE A
Statement covers period CALIFORNIA 460
FORM from ____ 1_1_11_1_8 __ _
through ___ 1_2_13_1_1_18 __ _ Page---of __ _
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
1374199
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1-DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
*Contributor Codes
IND-Individual 1. Amount received this period -itemized monetary contributions.
(Include all Schedule A subtotals.) ......................................................................................................... $ _____ o_._oo_ COM -Recipient Committee
(other than PTY or SCC)
OTH-Other (e.g., business entity)
PTY-Political Party 2. Amount received this period-unitemized monetary contributions of less than $100 ........................... $ _____ o_.o_o_
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL $ _____ o_._oo_
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)
Monetary Contributions Received
NAME OF FILER
Amounts may be rounded
to whole dollars.
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTCROIDBEUTPR
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER NAME
OF BUSINESS)
*Contributor Codes
INO-Individual
COM -Recipient Committee
(other than PTY or SCC)
OTH-Other (e.g., business entity)
PTY -Political Party
SCC -Small Contributor Committee
OIND
0COM
DOTH
0PTY
Osee
DIND
0COM
DOTH
0PTY
Osee
DIND
0COM
DOTH
DPTY
Osee
DIND
DcoM
DOTH
DPTY
Osee
DIND
0COM
DOTH
0PTY
Osee
SUBTOTAL$
SCHEDULE A (CONT.)
Statement covers period
from ___ ......:.1.:...../1:..:.../...:....18:;___ __ _
CALIFORNIA 460
FORM
through ___ 12_/3_1_/_18 __ _ Page of __ _
AMOUNT
RECEIVED THIS
PERIOD
0.00
I.D. NUMBER
1374199
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 -DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE B -PART 1
Schedule B -Part 1
Loans Received
Amounts may be rounded
to whole dollars. Statement covers period CALIFORNIA 460
FORM from ___ 1_/_1/_1_8 __ _
SEE INSTRUCTIONS ON REVERSE through __ 1_2_13_1_1_18 __ Page ___ of __ _
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
to IND 0 COM 0 OTH OPTY 0 sec
to IND 0 COM 0 OTH OPTY 0 sec
to IND 0 COM 0 OTH OPTY 0 sec
Schedule B Summary
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER
NAME OF BUSINESS)
a [b) (c)
OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING
BE~~~~8~HIS RECEIVED THIS OR FORGIVEN C~~~NcfFEt~s
PERIOD PERIOD THIS PERIOD • PERIOD
0 PAID
0 FORGIVEN
DATE DUE
0 PAID
0 FORGIVEN
DATE DUE
0 PAID
s
0 FORGIVEN
DATE DUE
SUBTOTALS $ $ $
1. Loans received this period .................................................................................................................... $ 0 00
(Total Column (b) plus unitemized loans of less than $1 00.)
2. Loans paid or forgiven this period ......................................................................................................... $ 0 00
(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 $ a no
Enter the net here and on the Summary Page, Column A, Line 2. <May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
$
e
INTEREST
PAID THIS
PERIOD
__ %
RATE
__ %
RATE
__ %
RATE
(Enter (e) on
I.D. NUMBER
1374199
ORIGINAL
AMOUNT OF
LOAN
DATE INCURRED
DATE INCURRED
DATE INCURRED
g
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
PER ELECTION**
CALENDAR YEAR
PER ELECTION**
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
Loan Guarantors
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
FULL NAME, STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE
OIND
OeOM
DOTH
0PTY
Osee
OIND
OeOM
DOTH
OPTY
Osee
OIND
OeOM
DOTH
OPTY
Osee
OIND
OeOM
DOTH
0PTY
Osee
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF·EMPLOYED, ENTER
NAME OF BUSINESS)
LOAN
LENDER
DATE
LENDER
DATE
LENDER
DATE
LENDER
DATE
Statement covers period
from 1/1/18
SCHEDULE B -PART 2
CALIFORNIA 460
FORM
through ___ 12_/_3_11_1_8 __ Page of
AMOUNT
GUARANTEED
THIS PERIOD
I.D. NUMBER
1374199
CUMULATIVE
TO DATE
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
BALANCE
OUTSTANDING
TO DATE
SUBTOTAL $ 0.00
neron
Summary Page,
Line 17 only.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule C
Nonmonetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
IF AN INDIVIDUAL, ENTER
Statement covers period
from ___ ....:..:1/;.....:1..:.../1..:...8=------
through ___ 12_/_3_1_/1_8 __
SCHEDULE C
CALIFORNIA 460
FORM
Page ___ of __ _
I.D. NUMBER
1374199
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMmEE. ALSO ENTER 1.0. NUMBER)
CONTRIBUTOR OCCUPATION AND EMPLOYER DESCRIPTION OF
CODE * (IF SELF-EMPLOYED. ENTER GOODS OR SERVICES
AMOUNT/
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1-DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
DIND
DCOM
DOTH
DPTY
DSCC
NAME OF BUSINESS)
Attach additional information on appropriately labeled continuation sheets.
Schedule C Summary
SUBTOTAL$
*Contributor Codes
IND -Individual 1. Amount received this period -itemized nonmonetary contributions.
(Include all Schedule C subtotals.) ...................................................................................................................... $ ____ 0.:;...;;..0.:;_;0;.___ COM-Recipient Committee
(other than PTY or SCC)
OTH -Other (e.g., business entity)
PTY -Political Party
2. Amount received this period-unitemized nonmonetary contributions of less than $100 .................................. $ ____ 0.;..;.·~00~
SCC -Small Contributor Committee 3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, ColumnA, Lines 4 and 10.) ..................... TOTAL $ ____ o.:;...;;..O~O:.....__
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
ScheduleD
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
D Support D Oppose
D Support D Oppose
D Support D Oppose
Schedule D Summary
Amounts may be rounded
to whole dollars.
TYPE OF PAYMENT
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
DESCRIPTION
(IF REQUIRED)
SUBTOTAL
SCHEDULED
Statement covers period
from ___ 1_/_1/_1_8 __ _
CALIFORNIA 460
FORM
$
through __ 1.;...;;;2;;;.../3.;;....1.;..;../_18,;.__ Page ___ of __ _
AMOUNT THIS
PERIOD
0.00
I.D. NUMBER
1374199
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1-DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ....................................................... $ ----=0=.0=0-
2. Unitemized contributions and independent expenditures made this period of under $100 .................................................................................... $ ----=0-=0=0-
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) .......... TOTAL .. $ -----=0...,.0"""0'--
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
ScheduleD
(Continuation Sheet)
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETIER AND JURISDICTION,
ORCOMMITIEE
D Support D Oppose
D Support D Oppose
D Support D Oppose
D Support D Oppose
Amounts may be rounded
to whole dollars. Statement covers period
from ___ 1_/_1_/1_8 __ _
through __ 1_2_13_1_/1_8 __ Page ___ of __ _
I.D. NUMBER
1374199
TYPE OF PAYMENT DESCRIPTION AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1-DEC. 31)
PER ELECTION
TO DATE
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
D Monetary
Contribution
D Nonmonetary
Contribution
D Independent
Expenditure
(IF REQUIRED)
SUBTOTAL $
(IF REQUIRED)
0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Payments Made
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 1_11_/_18 __ _
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through __ 1_2_/3_1_/1_8 __ Page ___ of __ _
NAME OF FILER I.D. NUMBER
1374199
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
eNS campaign consultants MTG meetings and appearances RFD returned contributions
eTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries
eve civic donations PET petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filing/ballot fees PHO phone banks TRe 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 COMMITIEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 0.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ............................................................................................................. $ ____ 0_·_00_
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $ _____ o_.o_o_
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................. $ _____ 0_·0_0_
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ _____ o_.o_o_
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
SCHEDULE E (CONT.)
Amounts may be rounded
to whole dollars. Statement covers period
from ___ 1_1_11_1_8 __ _
CALIFORNIA 460
FORM
SEE INSTRUCTIONS ON REVERSE
through __ 1_21_3_1_11_8 __ 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.
I.D. NUMBER
1374199
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
eve 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
INO 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 CODE OR (IF COMMmEE, ALSO ENTER I.D. NUMBER)
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL$ 0.00
FPPC Form 460 (Jan/2016}
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars. Statement covers period
from ____ 11_1_/1_8 __ _
through __ 1_2_1_3_1/_1_8 __
SCHEDULE F
CALIFORNIA 460
FORM
Page ___ of __ _
I.D. NUMBER
1374199
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
INO 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 CREDITOR
(IF COMMITTEE. ALSO ENTER I.D. NUMBER)
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D.
Schedule F Summary
CODE OR
DESCRIPTION OF PAYMENT
SUBTOTALS$
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
0.00 $
(b) (c) (d)
AMOUNT INCURRED AMOUNT PAID OUTSTANDING
THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ON E) OF THIS PERIOD
0.00 $ 0.00 $ 0.00
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 $100.) ............................................. .INCURRED TOTALS$ _____ o_.o_o_
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 $100.) ................................... PAID TOTALS$ _____ o_.o_o_
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.) ................................................................................................................................................................................... NET$ 0.00
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
NAME OF FILER
Amounts may be rounded
to whole dollars. Statement covers period
from ___ 1_11_1_1_8 __ _
through __ 1_21_3_1_11_8 __
I
SCHEDULE F (CONT.)
CALIFORNIA 460
FORM
Page ___ of __ _
I.D. NUMBER
1374199
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
eve
FIL
FND
INO
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
PHO
POL
POS
PRO
PRT
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
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
(a)
NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING
(IF COMMITTEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING
OF THIS PERIOD
SUBTOTALS$ 0.00 $
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)
(b) (c) (d)
AMOUNT INCURRED AMOUNT PAID OUTSTANDING
THIS PERIOD THIS PERIOD BALANCE AT CLOSE
(ALSO REPORT ON E) OF THIS PERIOD
0.00 $ 0.00 $ 0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
Amounts may be rounded
to whole dollars.
Statement covers period
from ___ 1_1_1_11_8 __ _
12/31/18 through--------
SCHEOULEG
CALIFORNIA 460
FORM
Page___ of __ _
I.D. NUMBER
1374199
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
eve
FIL
FNO
INO
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 member communications
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHO phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR (IF COMMITTEE. ALSO ENTER 1.0. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
• Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.
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)
DESCRIPTION OF PAYMENT AMOUNT PAID
TOTAL*$ 0.00
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
NAME OF FILER
FULL NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE. AlSO ENTER 1.0. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED. ENTER
NAME OF BUSINESS)
*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.
Schedule H Summary
Amounts may be rounded
to whole dollars.
Statement covers period
from ____ 11_1_11_8 __ _
12/31/18 through--------
a (b) (c) (d)
OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING
(e)
INTEREST
RECEIVED BE~~~~8~HIS LOANED THIS FORGIVENESS C~~~N~FEt~s
PERIOD THIS PERIOD*
0 PAID
$ ___ _
0 FORGIVEN
DATE DUE
0 PAID
0 FORGIVEN
DATE DUE
SUBTOTALS $ $ $ $
__ %
RATE
__ %
RATE
(Enter (e) on
Schedule I. Une 3)
1. Loans made this period .................................................................................................................................................... $ ____ ..... a ...... o ..... o'--
(Total Column (b) plus unitemized loans of Jess than $1 00.)
2. Payments received on loans ............................................................................................................................................ $ o oo
(Total Column (c) plus unitemized payments of less than $1 00.)
3. Net change this period. (Subtract Line 2 from Line 1.) ............................................................................................ NET $ o oo
(Enter the net here and on the Summary Page, Column A, Line 7.) <Maybeanegativenumber)
SCHEDULE H
CALIFORNIA 460
FORM
Page ___ of ___
!.D. NUMBER
1374199
(f) (g)
ORIGINAL CUMULATIVE
AMOUNT OF LOANS
LOAN TO DATE
CALENDAR YEAR
PER ELECTION ..
DATE INCURRED
CALENDAR YEAR
PER ELECTION ..
DATE INCURRED
**If Required
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITIEE. ALSO ENTER 1.0. NUMBER)
Attach additional information on appropriately labeled continuation sheets.
Schedule I Summary
Amounts may be rounded
to whole dollars. Statement covers period
from ___ 1_1_11_1_8 __ _
through __ 1_2_13_1_/1_8 __
DESCRIPTION OF RECEIPT
SUBTOTAL$
1. Itemized increases to cash this period ............................................................................................................................ $ _____ o_.o_o_
2. Unitemized increases to cash of under $1 00 this period ................................................................................................. $ _____ o_._o_o
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ....................................... $ _____ 0_._0_0
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ............................................................................................................................. TOTAL $ ____ o_._oo_
SCHEDULE I
CALIFORNIA 460
FORM
Page ___ of __ _
I.D.NUMBER
1374199
AMOUNT OF
INCREASE TO CASH
0.00
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov