HomeMy WebLinkAboutPemberton, Dorothy - 460 (01-01-23 thru 06-30-23) Amendment_RedactedCOVER PAGE
Recipient Committee
Date Stamp
* l
a 1
Campaign Statement
iu
Cover Page
Page of __
Statement covers period
Date of election if applicable:
y
from !
, (Month, Day, Year)
For Official Use Only
SEE INSTRUCTIONS ON REVERSE
through
1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
Officeholder, Candidate Controlled Committee ❑
Primarily Formed Ballot Measure
❑ Preelection Statement
❑
❑ Quarterly Statement
O State Candidate Election Committee
Committee
Semi-annual Statement
❑
❑ Special Odd -Year Report
0 Recall
0 Controlled
Termination Statement
(Also Complete Parts)
0 Sponsored
-Also file a Form 410 Termination)
(Also Complete Pad6)
Amendment (Explain below)
General Purpose Committee
❑
-t y
'J 1 ce y''
Q Sponsored
VV Small Contributor Committee
Primarily Formed Candidate/
Officeholder Committee
0 Political Party/Central Committee
(also complete Part i)
Committee Information
NUMBER I.D.3.
Treasurer(s)
COMMITTEE NAME (OR CANDIDATE'S NAME IF NNgO COMMITTEE) jf� y ( f
NAME OF T�RyE^ASURER L
A'Vrl
MAILING ADDRESS
STATE
ZIP CODE AREA CODE/PHONE
STREET ADDRESS (NO P.O. BOX)
CITY
aG e-
a -l-a2 ZO
CITY STATE ZIP
CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
-y
MAILING ADDRESS (DIFFERENT) NO. AND STREET OR P.O. BOX
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
CITY STATE
ZIP CODE AREA CODE/PHONE
TIN Cd
G o
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX/ E-VAIL ADDRESS
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 is
Executed on j ` a� `
By
D to
/ q
Executed on .' f "P , y
By
surer
Qat"�` e """�
Signal
ant or Responsible Officer
of Sponsor
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
-
Executed on _
Date
By
_FPPC Farm 460 (Janf 2016)j
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wwwfppc.ca.gov
COVER PAGE - PART
Recipient Committee
Campaign Statement
Cover Page -- Part
Page of 12
5. Officeholder r Candidate Controlled Committee
6. Primarily orrTmed Ballot Measure Committee
NAME OF.OFFICEHOLDER OR. CANDIDATE
NAME OF BALLOT MEASURE
Dorothy Pemberton
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
BALLOT NO. OR LETTER I JURISDICTION
[� SUPPORT
lac "Trey City Council - District 3
0 oppo se
RESiDENTIALIBUSINESS ADOPESS (NO, AND STREET.1 CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, 7# any.
Downey �: ?�{�2��
NAME OF OFFICEHOLDER, CANDIDATE OR PROPONENT
Related Committees Not Included in thisStatement* List any committees
notincludedin this slatement that art; controlled y you or are primarily formed to receive
OFFICE SOUGHT OR HELD
DISTRICT NO, IFANY
contributions or make expenditures on behalf ofyotrrcandhtacy
COMMITTEE NAME W. NUMBER
Primarily Formed Candidate/Offi eholder + �rmmittee List names oaf
NAME OF TREASURER CONTROLLED rLLEt� COMMITTEE?
oh'%eholder(si or candidate(s) for which this committee is primarily farmed.
Q YES NO
COMMITTEEAiti}I ISix STREET 4ESORES (NO f? C. SOX)
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE, SOUG14T OR HELD
0 SUPPORT
0 OPPOSE
CITY STATE ZIP CODE AREA CODFJPHONE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SIJF'PORT
OPPOSE
COMMITTEE NAME I.0NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE 5C?EIGHT OR HELD
0 SUPPORT
C] OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE'?
NAME OF OFFICEHOLDER R CANDIDATE
OFFICE SOUGHT OR HELD
l� -SUPPORT
[I YES 0 NO
� PPC7 E
COMMITTEE ADDRESS STREET ADDRESS (NO P.O: BOX}
i
Attach continuation ;sheets if necessary
CITY STATE ZIP COTE AVER CODE/PHONE
FPPC Form 460 (Jan/ ti .6)
F PC Advice: adv1ce@ fppc.ea.9oV (8661i -377 )
www.fppc.ca.gov
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
Statement covers period A
from
through
—3 ,0 ` Page of
I.D. NUMBER
NAMt UI- I-ILtK
A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
[f
Running in Both the State Primary and
y1�
General Elections
1. Monetary Contributions .... ......:.:..... .... ........... Schedule A, Line 3
$
F "
$
1/1 through 6/30 7/1 to Date
2. Loans Received.. ... ............ ... ........... .. ......... Schedule 8, Line 3
cc)
f
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..... ::...... :::......... Add tines 1 +2
$
$
Received $ $
4. Nonmonetary Contributions ......... ...................... Schedule C, Lines
'
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED., ......Add Lines 3+4
$
� �
$ f 0'?00
Made $. $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made;:, Schedule ,Line 4
$
< (10
$ � • IC
Candidates
7. Loans Made ....................... ...... Schedule H, Line 3
0
0
22: Cumulative Expenditures Made*
5-'6 �
65
8. SUBTOTAL CASH PAYMENTS .... ......: .................. Add Lines 6+7
$
$
(if subject to voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) --- ....... .:.:.......... .:::........scneduie E Line 3
g'
10
Date of Election Total to Date
10. Nonmonetary Adjustment...... ::. ............. Schedule C, Line 3
d0
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE .... .......... ::::,..,Add Lines 8+9+10
$
$ S `�C)
/ l $
$
Current Gash Statement
12.-Beginning Cash Balance :......... ........." Previous Summary Page, Line 16
$
To calculate Column B,
13. Cash Receipts ...:... ...::. .......:. Column A; Line 3 above
14X ?010
add amounts in Column
A to the corresponding
*Amounts in this section may be different from amounts
14, Miscellaneous Increases to Cash ....... ....:,. ........... schedule /, Line 4
amounts from Column B
reported in Column B.
15. Cash Payments . .........., ...... . Column A, Line 6 above
"""`
C - !�
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE .......... ..:Add Lines 12 + 13 + 14, then subtract Line 15
$
- " Flo
be negative figures that
should be subtracted from
If this is a termination statement, Line 96 must be zero.
previous period amounts. If
this is the first report being
17. LOAN' GUARANTEES RECEIVED.... ....... -:............. '.... Schedule B, Part 2
$
filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts
from Lines 2, 7,-and 9 (if
�
any).
18. Cash Equivalents....... ......... . .. ... .............. See instructions on reverse
$
19. Outstanding Debts.....:.... .... Add Line 2 + Line g in Column B above
$
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
'*--k,ftAiAft A Amounts may be rounded
to +rrnose collars.
Monetary i
Statement �cavers period
Y
from
through - tlk
Page 4__�_ �- of 12
SEE INSTRUCTIONS ON REVERSE
NAME OF FILED I.D. NUMBER
Monica Gross 145991
FULL NAME, STREE`rADDRES AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
CONTRIBUTOR
DATE OCCUPATIONArND EMPLOYER CONTRIBUTOR RECEIVED'THIS GAt,ENDR YEAR TO BATE
RECEIVED Corm (IF SELF-EMPLOYEO,ENTER NAME
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) eF 8USJNess) PERIOD (JAN.1- DEC. 31) (IF REC UIRED)
4-19-2023
Bonitie, Travers
Z INo
Retired
1,000.00
�O
OTH
Downey, CA 9240
O PTY
4-24-3 23
Victoria Smith
V I li
Retired
350.00
D CCom
OTH
PTY
OC
4-24-20 3
Whitney Pemberton
ZINC;
0 Com
Leasing Manager
Mit,ft9
O OTH
Downtown LA ?rotors
Downey, CA 90241
C3 PTr
Porsche
5-2-2 23
Guerra Enterprises
INC)
Guerra Enterprises
1000.00
O
OTk'I
Downey, CA 0241
Q PTA
[I-SCC
5-2-2023
Law Offices ofiN ex Saab
[ INN
Uw Ceres ofALex Saab
1000.00
E] co t
0 OTH
Downey, 4:
0 PITY
�SCC.
Schedule A Summary ''Contributor Cadet
IND - Individoat
1 Amount received this period — itemized monetary contributions
164011.110 CO - Recipient Committee
(include all Schedule A subtotals...> ---- ......................... .» ..w,..x........, ....,.,..... ,» »;..,,.. »fi.:..» (other then PTY or aCC)
OTH -- Other (e, .„ business entity)
2. Amount received this period — urriterni ed monetary contributions of lass than $100....... ......... ......<,.. 0 P -- Political Party
CC - Smalt Contributor Committee
Total monetary contributions received this period. 164€1Cl 00
{Add linos 1 and 2. Enter here and € n the Summary Page, Column A, Line 1 »}............. ......T TA $ FPPC Farrar 460 (aar'r/'20161)
FPPC Advice: advice@f pc.ra ov (8 0275- 7721
Schedule A (ContinuationSheet) Amounts may be rounded SCHEDULE A ;(CONT.)
Monetary Contributions Received to whole dollars.
Statement covers Period
from 1-1-2023
0
through 6-30-2023
Page 5 of 12'
NAME OF FILER 1.D. NUMBER
Monica Gross 1459910
FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL; ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
DATE CONTRIBUTOR OCCUPATION AND EMPLOYER
CONTRIBUTOR * RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE (IF SEl.F•EtvIpCC7YED, ENTER NAME)
{IF COMMITTEE, ALSO ENTER I.D. NUMBER}. OF BUSINESS? PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)
5-2-2023
Donald G. Lamkin
C IND
Retired
200.00
COM
❑ OTH
Downey„ CA 90241
❑ PTY
SCC
5-3-2023
James L. "Travers
IND
Retired
350 00
El COM
-❑ OTH
Downey, CA 90240
El PTY
El SCC
5-3-2023
Robert S. Brazelton
V IND
Retired
1000.00
❑ COM
OTH
Downey, CA 90240
❑ PTY
❑ SCC
5-3-2023
R.A. Kolar
F3 IND
L'Abri Management
1000.00
El COM
® OTH
owney,
❑ PTY
❑ SCC
5-3-2023
Cartozian Assoc. Real Estate Inc.
C( IND
Cartozian Assoc. Real Estate
1000.00
0 COM
® OTH
Downey, CA 90241
Q PTY
El SCC
SUBTOTAL. $ 3550.00
FPPC Form 460 {3an/2016))
FPPC Ad ' dvice@fP"'c ca ov 1866/275-37721
vice. a p • .g
www.fppcca.gov
Schedule (Continuation Sheet) Amounts may be rounded S H DUL A (COOT.)
Monetary o hrs9 cio ars.
Statement covers period
truant
through 0- 0- 02 i Pager 0, 1
NAME OF FILER W. NUMBER
Monica. Grass 1459910
FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
CRATE CONTRIBUTOR OCCUPATION AND EMPLOYER CALENDAR YEAR T DATE
CONTRIBUTOR � RECEIVEDTHIS I°� CALvN
CODE ItF'SEl.F•Eh1PLCtY°E�e, EN'racR N,A0.1E1
REI"I+ItEL3
(jr caa&WITrcE, SO ENTER 40 NUM5ERy ul" BUSINESS) PERIOD (JAIL. 1 - DEC, 31) (IF REQUIRED)
5-15=2093
Kathleen Kolar
0 IND
Retire
1000.0[1
p COO
El OTi"l
Downey, 90241
C1ppp PTY
2CC
5-15-2023
Raul C Lopez IArlene G. LopezII�rt�ly�j�p
Retired
50 X0
D�L:OIY:
M OT i
{ }y; P f''
Downey,
0 SNC
5-15-2023
Patricia R. 51tar ae
W1,+� INN
Retired
1.50.00
COM
1 owneyf A 90240
❑ PTA
0 SCC
5-15-2t 2:
Steven . Robetsort Inc.
Ci IND
Real R.state Breaker
500.00
0 COM
Z TI I ;
Dowin�ey, C 90240
OITT
CC
5-�15-2023
Sheba = Pemberton
IND
Luestfie1d roue Manager
10(1U0
OC OM
O OTN
T�rr�Y, 90241
I
CC
tlC3T��T�t~' 3150.t1i1
w ,
t:
*Contributor Codes
INN — individual
, EOM — Recipient Cornmittee
other than PT` or SC.C),
OTH -Y Other (e.g., business entity
PT`� - Political Party
$CC - Small Contributor Committee
fPI� err Ja/1})
FPPC deice advite@fppc.ca.gov ( 6/275-3772(
www.fppc.ca.gov
t t Ar + Q l .-- _ — ..__m.> _ v.. , SCHEDULE (CONT.)
Monetary ont ibutioReceived to whole dollars,
taiernent corers period
from 1-1-2023
through 6-30-2023 page � of 1
NAME OF FILER
I.D. NUMBER
Monica Geoss
1459910
ADDRESS AND !R CODE OF tF Ate INDIVIDUAL, ENTER
AMOUNT CUMULATIVE TO GATE PER EL4 CTtON
7FULLNAME,TREET
CONTRIBUTOR OCCUPATIO a ANDEMPLOYERCt'3hlTRt8L3Tt7R
7REC7EI'VED
RECEIVE�rTl�ii CALEFI�IAR YEAR TC� C7iE
C DE {�FScL�Eal�biib ,FN ER NAME)
MIrTes.AtZO ENTER W. NUM11tM OF suslIN5as)
PERIOD (JAN.1 - DEC. 31) (IF REQUIRED)
5 3 -2
% Pro ecdort %
1{VC
JB Fire Protection LL
2%0
0 com
EWW
Wty,
OThl
Q f T
5-3 -2023
VAbd Management
0IND
VAbr1 Management
1000.0
OTt;
Downey, 02 1
0 PTi'
SCC
5-3 -2023
Alan E. Pemberton
Z IND
retired
200.0
rl CCU
OTil
Long Beach, CA 00813
OPTY
5-3 -2023
Chanel Page
Z INN
Off'T e Hook
25€ ,00
Ocom
Restraunt Server
(cal l
Downey CA 90241
0 PTA
D SCC
5-30-2 23
Richard E. Raabe
Z IND
Retired
1000.00
+fit
ROTH
Downey, CA
O PTY
SUBTOTAL 2700.00
`ntnbutor Codes
INN - Individual
OM - Recipient Committee
{other then P` Y or SCC
OTM -- Other (e.g„ business entity}
PTY - Politicat Party
SCC ... Small Contributor Committee
FPpC Form,60 JIa/201)j
FPPG Advice: adVice@fp0c-ca.gov ( /2754 ' )
.fppc.ca. ov
Schedule ont nors Sheet) Amounts may rounded SCHEDULE A. (CONT)
Monetary o i t r s Received to whole dollars. Sttatement raTrerspeEriorl
from
i
--2 -w
ihrTaT�I'T
TT
l.£3. NUMBER
NAME OF FILER
14Oi0
Ions Grote`
FULL NAME, THE 1'�aG3DkeSSS Alsip ZIP COD OF
IF AN ENTER
AMOUNT'
CUMULATIVE TO DATE FE#'� LAC"il�}P�
DATE
CONTRIBUTOR
CONTRIBUTOR
�
OCCUPATION AND EMPLOYER LOYER
I3 This
RECEIVED
CALENDAR YEAR xR TO tS;TE
RECEIVED
ff COMMTrrEE, ALSO ENTER W, NUMaER)
CODE
(I SELF-EMPLOYFO,F-RiaAME1
Of ausi,4FS
PERIOD
(JAK I - DEC, 3) (IF REQUIRED)
0-8-2023
Joyce men Doyle
INN
Retired
104.00
O o
0 OTFl
Downey, CA 40240
0 PTY
LI SCC
6-8-2023
B. Dennis eesr rt
0 INN
Retired
100,00
Odom
0 OTFl
Dimity, CA 00241
C(P`cyM.*�
O SCC
- -2023
WilliamJ. Kirkwood
Z (NDl
Kirkwood Cluistian Schools
500-00
D o�m5
OTF3
Dn ey, CA 9WZ40
O PTY
-8-2022
John J. Lacer
C llNp}^yyiyy��
Crystal Properties Realtor
500.00
..
O com
T
Downey, CA 90240
0 PTY
SCE
6-7-2023
Monica; Gross
JZ I D
Rer1red
100.00
O C,om
0 OTl
owney.
O PTY
SCC
SUBTOTAL 1300.00
s
'Conbi4ulor Codes
Ill , —Individual
COO — Recipient Committee
(other than PTY or SCO)
PTY —political paw
SCG — Small Contributor CommMes FIPPC IForm 460 glae/24i16)�
wf'ppc.T . ov
Schedule (Continuation Sheet) Amounts may be rounded SCHEDULP A (CONT)
to whole dollars. SMonetary Contributions Received
tatement rovers periodfrom 1-1-20923
ttresugh ±-3t1-2ii23
Pago of
I-D. NUMBER
SdA�IE.{7F 1`iLE�fi
1459910
t otticaGross_
FULL STREETt% ,RE AND 3P CODE E F IF AN INDIVIDUAL,R AMOUNT CUMULATIVE TO RATE PER ISLE TION
DXj'E CONTRIBUTOR UTt R C3CCURATION ARECEIVED THIS CALEt DAR YEAF� TCs Ca?iTE
CONTRIBUTOR
�� OE tt�S tF E�s�tc3Y���FEEI?ECi s susPEIIOI IAPi. - DEC. 3i} (IF QIRED)
(If GkJ?' M1TTeE�,� ALSO ENTiER 6.[P_ PNUMSei`t)
6-2 -2 23
Beverly atl`Iis
0IND
0 dom
Retired
25 .00
0 CITE
Downey, CA 90240
O PTY
�tSeC
6-27-2023
RMI 1trt rnailowl
[I INN
RA411aternational
5K 00
Cl Com
ararnottrtL. CA 07
i PTY
sc
-3 -2 23
Cavril Gabriel
91 IND
l CO
LTG Lawyer
500.01
OTH
Downey CA 90241
C PT
6.30-2 23
Patricia Morris
{ IND
Centlra-y 21 Pak Realtor
100,0
Q Ct1Mt
❑ OTH
Downey, CA 90240
OFTY
0
6 I7
o com
D C ITN
11 P'T'i
SCC
7777777
SUBTOTAL 13A(i
*Contributor Codes
INN — Individual
C OM — E~ ectple nt Committee
{other than, PTY or SCC
OTH — C7fher (e.g., business entity)
PTY— Political Party
CSC - smalf l onhi utor C;orrimittee fpPC Fora 4 O (Dart/20' : )l
fppc Advice; advke@fppcxa. ov 1866 75- 77 )
wvrvW1ppc.ca. ov
SCHEDULE S - PART
Amounts may we rounded Statement covers period
Schedule — Putt to whole dollars.
L Received from
through 6-30-2023
page 1 of L
SEE INSTRUCTIONS ON REVERSE
LI3, N:ElME3ER;
NAM =- OF FILER
IF AN INIIVIiUAt , ENTER INTEREST 6
FULL NAME, S I I I Ai3Ct tSai Arid If COOS NINOCCUPATION rtl�#i11�1t�'1.�7 R OUTSTANDING INt)iUNT AMOUNT PAID OUTSTANDING
E ADDR BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS
s
t�#�i�ailiAl Ot#IvtUIRI IVE
AMOUNT OF CONTRIBUTIONS
Or R qr SELF.EMPLOYED, ENTER BEGINNING 1THtS P��it�ii T I ItS I�Ei�li�i3 � CLOSE OF THIS PERIOD
PERIOD
LOAN TO DATE
(IF CONIr�slTTEF.A SO ENTER I,M �at�M11FR) NAMS or-13UMNSS81 PERIC?I�
riC N AFt Y RR-
n PA4
Dorodi ° , Pemberton
Century 21 Reak Realtor
�
2500.01
$ 25t1011
Cl �C}t$WV5-,N
PER ELECTiON**
RATF
l la%mq, CA 9 241
0
2500,00
� 4�
6- -202
DATE INCURRED
DAI VE DUE
t IND 0 COM 0 OTH lI PTA Cl SCC
-PAID
cr-�.,ENDARYEA
RA't:.
FORGIVEN
PER ELECTIC3N "
DATE DUE
DATE INCURRED
a
"
' IND C1 Ct, m l OTH g r^? a ATY Cl SCC
PAI€?
CALENDAR YEAR
$
S _
$
3-
�rE
FORGIVEN
Pee et ec Ciorl+a
a�TE DUES;�TE
INCURRED
CI IND C1 CoM 0 eTH C PTY O cc
(Enter Id) nn Schedule E Ursa 3)
Schedule 8 Summate MOM
1Loans received this periled ...... b.........w.....: .,a..., ., ,.a ......, y .................. . ....... — ......... -.....
(Total Column (b) plus uniternized loans of less there 1 tl00 t nlribu ,r Codes
Loans paid dt� forgiven this period .......................... ,.........,,. , .,.,...> 4,.........,,......,.,..:., . iN€l -- individual
(Total Column u} plus loans under 100 paid or forgiven.) COM - Recipient Committee
(include loans Maid by a third party that are also itemized n Schedule A) 2511i1.t1 leer � � buss e s ��
:: Net change this period. ($u6tr�a t Line from Line 1. PTY -P liertl• ,. business entity)
�: „>.., .,. «::.......... .........,,..,,. »,,...,,,��' pT`P-f�callticelParty
Enter the net here and on,the summary Page, Column A, Line C - small contrIbutor Committee
*Amounts forgiven or (said by another patty also must be reed on Schedule A PPC Form 460 {Janj it ))
Ifrequired.FPPCAdvice: dstice fppc.c - rsv(866/ 75-V)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Amounts maybe rounded
to whole dollars.
Statement covers period
* .
� 1 �
_Payments Made
from 1-1-2,3'
through c% �"
Page t
SEE INSTRUCTIONS ON REVERSE
of
NAME OF FILER
I.D. NUMBER
rwl y) f (fi
#
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
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
- (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
-
CA zezz",Z
1► -:
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E SUtYinlaiy
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_ $
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.cagov
Schedule E
- SCHEDULE E (CONT.)
Amounts may be rounded
to whole dollars:
:Statement covers period
(Continuation Sheet)
Payments Made
from If-1—
through 0 —2'
�
SEE INSTRUCTIONS ON REVERSE
Page of —
NAME OF FILER
LD. 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.
MIER
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
END 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
" + urO yw(t M G 3
C '
j��y
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Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ c y �7 "
FPPC Form 460 (Jan 2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
wwwfppc.ca.gov