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460 Recipient Committee Campaign Statement – Preelection Statement Recipient Committee Date Stamp COVER PAGE .�,I • - � . Campaign Statement � �� 11 v L � - � ' 1 Cover Page �� -�_ . . Statement covers period Date of election if applical�b; a � of�" from �` f �j�a (Month,Day,Year) � l� OCT d- � ��l�y �✓ For officiai use only SEEINSTRUCTIONSONREVERSE thfoUgh / �� /!� �� '�� +j�/ C�L`Rti 1. Type of ReCipierit Committee: A��committees-comp�ete Parts t,z,s,a�a a. 2. Type of Statement: � � '� � Officeholder,Candidate Controlled Committee ❑ Primaril Formed Ballot Measure � Preelection Statement — Y ❑ Quarterly Statement � State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report � Recall � Controlled ❑ Termination Statement (Also Complete Pert 5) � Sponsored (Also file a Form 410 Termination) (A/so Complefe Pert 6) ❑ General Purpose Committee ❑ Amendment(Explain below) � Sponsored ❑ Primarily Formed Candidate/ � Small Contributor Committee Officeholder Committee � Political Party/Central Committee (Also Comp/ete Pert 7) 3. Committee Information i.o."u""BER Treasurer(s) I l�/Q`�.�3e�. COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER r�cc�Y �v�- c��.,��a�� aaft�, '�� l�)c��5�s�n 1`-°Ic.�� MAILING ADDRESS � � - STREETADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREACODE/PHONE �'r�p�"-�ei�c� �/\ 9�C�I�f �,� �,� CITY STATE ZIPCODE AREACODE/PHONE NAMEO�ASSISTANTTREASURER,IFANY ��P�r—�'i'o�aq� c�f� �f5�!/� �� MAILING ADDRESS(IF DIFFERENT)N0.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIPCODE AREACODE/PHONE CITY STATE ZIPCODE AREACODE/PHONE OPTIONAL: FAX I E-MAILADDRESS OPTIONAL: FAX/E-MAILADDRESS 4. 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. I certify under penalty of perjury under the laws of the State of California that the foregoing Offcer of Sponsor / Executed on By Date Slgnature of Controlling Offceholder,Candidate,State Measure Proponent Executed on By Date 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 COVER PAGE-PART 2 Recipient Committee , � . , Campaign Statement � . � s 1 Cover Page — Part 2 Page � of� 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE �b l�P Y"�' �C �e7"�/ OFFICE SOUGHT OR HELD(INCLUDE LOCA'VION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT �L✓/ C^�Y'"�/� Cv-I �� Yl� I I❑ OPPOSE r /� C� ��-t��! I RESIDENTIALIBUSINESS ADDRESS (NO.ANb STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. �? ��,��n� c��s�� NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: ListanycommitEees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD I DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OFTREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee Listnames of officeholder(sJ or candidafe(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEEADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODElPHONE AttaCh COntlnUBtlOn Sh2etS If IlECeSsBry FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/2753772) www.fppc.ca.gov Campaign Disclosure Staternent Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period � _ , , from `� � i f ��o , � . • 1 SEE INSTRUCTIONS ON REVERSE th1'ough -/ e��'/'�� Page � Of� NAME OF FILER I.D.NUMBER ,�l C c.a°�/ �� l'.��.�v��w'I �<_�I� i�.,h��---� r3G��r 33 •�. , Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR (FROMATfACHEDSCHEDULES) TOTALTODATE Running in Both the State Primary and _ General Elections 1. Monetary Contributions................................................... scnedu�ea,Line 3 $ � $ � 1/1 through 6/30 711 to Date 2. Loans Received................................................................ scnedu�e e,Line 3 � C9 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add�ines�+2 $ � $ � Received $ $ 4. Nonmonetary Contributions............................................ scnedu�e c,Line 3 0 � 21. Expenditures 5. TOTALCONTRIBUTIONSRECEIVED....................................Add�ines3+4 $ � � p Made $ $ 6. Pa ments Made.................................................. Expenditures Made Expenditure Limit Summary for State y .............. Schedule E,Line 4 $ �•Of;� $ /r�r�� Candidates 7. Loans Made....................................................................... scned�ie H,Line 3 l7 � , 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS.......................................... Add�ines s+� $ .�es��Cy� $ /�� (If SubJect to Voluntary Expenditure Llmit) 9. Accrued Expenses(Unpaid Bills)..........................................scneduie F�;ne s � Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................scnedu�e c,Line 3 C� (mmlddlyy) 11. TOTALEXPENDITURESMADE........................................Add�inese+s+lo $ �ot` .CJd $ _J__� � Current Cash Statement �� 12. Beginning Cash Balance............................ Previous summaryPage,line 16 $ 1 �j�•3� To calculate Column B, 13. Cash Receipts........................................................... co�umn A,�ine s above �C'1 add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash.................................. scnedu�e�,Line 4 � amounts from Column B reported in Column B. 15.Cash Payments......................................................... co�umn A,Line 8 above �c�. ,�� of your last report. Some amounts in Column A may 16.ENDING CASH BALANCE ..................Add Cines 12+13+i4,then subtract Line 15 $ �� 7. �� be negative figures that should be subtracted from If this is a termination statement Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED................................ Schedule e,Part2 $ �j filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,�,and 9(if � any). 18. CBSh EqUIV81211tS................................................ See instrucfions on reverse $ 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column e above $ � FPPC Form 460(1an/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov i Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period , � . , Payments Made �`� `�� . - • � from SEE INSTRUCTIONS ON REVERSE th�OUgh r ��`�'/�� Page._2— Of� NAME OF FILER I.D.NUMBER M �.' ��/ �'�v�'° C�r9 c�i s? �i I �.C�(CC�3 , 1�'C��"�'-1r'-°�- 1 ,31C�� 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 candidateJsponsor 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,AL50 ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID l�Gt►-� k c� ;F' /�rr-a��'C e�. J�-r-V�'��. �� `� *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$100..........................................................................................................................................$ � 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).............................................................................$ � 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ �0`�2��C� FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov