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Home My WebLink AboutBeltran, Joaquin - 460 (01-01-22 thru 10-22-22)_RedactedCover Page Statement covers period from 1/1/22 through 10/22/22 1. Type 4 Recipient Committee: All Committees — Complete Parts 1, 2,3, and 4. Lffic Qeholder, Candidate Controlled Committee El Primarily Formed Ballot Measure Mc � State Candidate Etection Committee Committee 0 Recall 0 Controlled (Also CwVlafo PfiH 5) 0 Sponsored (Also Complete Part 6) E] Mse Committee ributor Committee rty/Central Committee COMMITTEE NAME (0 31MMEM 0 Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) STREET AD -DRESS (NO PO. BOX) CITY STATE ZIP CODE AREACODEIPH&NC MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E-MAIL ADDRESS W =_ Date Stamp 7 11/8/22 J j 2. Type of it-atement Z Preelection Statement El Quarterly Statement El Semi-annual Statement El Special Odd -Year Report El Termination Statement (Also file a Form 410 Termination) El Amendment (Explain below) Treasurer(s) NAME Of TREASURER Joaquin Beltran MAILINGAIDDRESS CITY STATE ZIP CODE AREACODEIPHONE NAME OF ASSISTANT TREASURER. IF ANY UAQW11DDRESS CITY STATE ZIP CODE AREA CODE/PHONE 109500MVE _FAX/EMAILADDR_F_SS W;AI NT M, rzro Wra 1 0/. ii 1". 6 a clules is rue an complete. I Executed on 5aFe----- z By Signature of Controlling Officeholder, &ndidate, Mate Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov i 0 - 1 0 1111 1111 - - 6%.Ig I -h I is I W'fflgwa [q-=3iCM=:FMnW' 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Joaquin Beltran OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLicABLE) Downey City Council District 4 RESIDENTIALIBUSI NESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany 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 NUMBER NAMEOFTREASURER CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D.INUMBER NAME OF TREASURER 0 MI. COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE M-NAME OF BALLOT MEASURE BALLOT NO. OR LETTI COVER PAGE - PART 2 mmm 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 ofteholder(s) or candidate(s) for which this committee is primarily formed NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD [j SUPPORT [-I OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD❑ SUPPORT F-1 OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT F-1 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 NavAqW11:1 Amounts may be rounded to whole dollars. Column A Contributions Received TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions---.- ... ...... ....... schedule A,Lines $ 2092 2. Loans Received...........-.... .... schedule B,Lines 595.30 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 2687.30 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 50 5. TOTAL CONTRIBUTIONS RECEIVED ....................... ...,.,.,,Add Lines 3 + 4 $ 2737.30 6. Payments Made. Schedule ELine 4 7. Loans Made..... :.. --- ........... ....... --- ................ schedule HLine 3 8. SUBTOTAL CASH PAYMENTS AddLines6+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 Statement covers period CALIFORNIA M I S 46^ from -01 FORM Ltrhrmo,gh -Z' age of I.D. NUMBER Column B Calendar Year Summary for Candidates CALENDARYEAR TOTAL TO DATE Running in Both the State Primary and I General Elections $ 2092 595.1/1 through 6/30 711 to Date 30 .. .... .. .. ...... .. . . ..... ... 2687.30 20. Contributions $ - Received $ - 50 21. Expenditures $ 2737.30 Made $ --------- $ 0 310-57195�� --),�2 3-- -L 9 $ $ $ $ 2 �U30. 2952 2,0730.SSk 12. Beginning Cash Balance. ......... ................. Previous Summary Page, Line 16 $ -0 13. Cash Receipts Column A, Line 3 above 2687.30 14. Miscellaneous Increases to Cash----... ........... .... ... Schedule 1, Line 4 15. Cash Payments. ...... ......... ...... Column A, Line 8 above 16. ENDING CASH BALANCE .. .....,,.,Add 7 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 -0 18. Cash Equivalents ................................................ see instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2+Line 9in Column Babove $ 595.30 r 101111111MR. W W andidaltes 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) NOW. I A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in 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). FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule t Monetary• . . -r FULL NAME, STREET ADDRESS •• OF DATE • • RECEIVEDCOMMITTEE,O ENTER I,D, t 10/4/2022 Annika Dragovich 10/5/2022 Graham Freeman 10/5/22 Michael Halpern 10/5/22 Amanda S iegel Amounts may be rounded to whole dollars. SCHEDULE A periodStatement covers CALIAft 'Alft FORNIA from Na FORM O I.D. NUMBER CIS C 1 IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS' PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ® IND ❑ COM Not employed 10 10 ❑ OTH ❑ PTY ❑ SCC IND ❑ COM Registered Nurse 10 10 ❑ OTH Evergreenhealth ❑ PTY ❑ SCC ®IND ❑ COM Information Security 15 15 ❑ OTH Manager ❑ PTY OpenSolar ❑ SCC .—,..� IND IND El COM Consultant Michael 25 25 ❑ OTH Halpern ❑ PTY ❑ SCC ® IND ❑ COM Not Employed 10 10 ❑ OTH ❑ PTY ❑ SCC Schedule A Summary "Contributor Codes 1. Amount received this period — itemized monetary contributions. IND —Individual p Y COM —Recipient Committee (Include all Schedule A subtotals.) .................................................. $ (other than PTY or SCC) OTH — Other (e.g., business entity) 2. Amount received this period — unitemized monetary contributions of less than $100 ........ - PTY - Political Party SCC — Small Contributor Committee 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.),..w. ..............TOTAL FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT) Monetary Contributions Received to whole dollars. Stafpmprit covers PeriodCALIFORNIA ��O FORM from through, Pago of NAME OF FILEW I.D. NUMBER IFAN INDIVIDUAL, ENTER AMOUNT ION DATE OCCUPATION AND EMPL Y RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF SELF-EMPLOYED ENTER AM OF B OD A. 1 - DEC. 31) (IF REQUIRED) IND 10/5/22 i El com Not Employed El OTH ■ PTY El SCC Z IND 10/5/22 El COM [-I OTH El` SCC Not Employed Real estate Self 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)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary L-offiffilb—Of ions eceivea W-WTTW6-�Lz aim. ST aw—mwn rc o —ve r s CALIFORNIA from FORM 460 through WA'M EO D 44 BER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF 9 IF AN INDIVIDUAll AL, ENTER AMOUNT PER ELECTION CONTRIBUTOR OULOYE CCPATION AND E MP RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER LD, NUMBER) CODE (IF SELF-EMPLOYED ENTER NAME)i OF BUSINESS PERIOD (JAN. 1 - DEC, 31) (IF REQUIRED) IND 10/5/22 Norah Mason El Com Teacher Cleveland El OTH Metropolitan School EIPTY District [I SCC Z IND 10/5/22 [1 COM Resident Physician [I OTH New York Presbyterian EIPTY Hospital 0 SCIC IND 10/6/22 Kerim Yas� 11 COM ■ OTH ■ PTY ■ SCC Z IND 10/6/22 El com Biologist El OTH Georgia institute of EIPTY technology EISCC Z IND 11 Com Not Employed EIOTH [j PTY n SCIC '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)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary C—o—Wriffutions Received Statement covers pent from --qv 2 — • through Page of Page NA IMI E OF FILE . ER ]D NUMBER (,-'Tp— A t L C FULL NAME, STREETAIDDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I,D, NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) IND 10/6/22 Emily acow El COM Not Employed 10 10 0 OTH 0 PTY El SCC Z IND 10/6/22 Pantea javida El COM Faculty 100 100 D OTH Stanford University El PTY El SCC ®IND 10/6/22 Alissa Kissle El com Reports officer 10 10 El OTH Eagle Harbor LLC F1 PTY ElSCC — — - -- ------- ------ -------- Z IND 10/7/22 PaulSochacki El COm Healthcare Analyst 10 10 D 9TH MediQuant EIPTY EISCC IND 10/7/22 Corinne Elmore COM Not Employed 10 10 ❑ OTH ❑ PTY F-1 sco SUBTOTAL$ I '�_l ID "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 L FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) WWWJPPC.ca.gov �2�L(JIA DATE RECEIVED 10/7/22 Em 10/10/22 110AIMM 10/11/22 Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) from FORM"'— 4%)U through Page It FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INbiviDUAL, ENTER AMOUN AHT PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED HIS CALENDAR YEAR To DATE (IF COMMITTEE, ALSO ENTER LD, NUMBER) (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (IAN I -DEC 31) (IF REQUIRED) Robin Saunders 101 consultant Royal Foods El OTH El PTY El SCC Z MID Vineet Tiruvadi El COM Software engineer El OTH Humeai El PTY El SCC IND Charlene Lambros El com Registered Nurse El OTH Kaiser Permanente El PTY El SCC IND Renee Campbell El Com El OTH El PT ,E] SCC jZIND El com �E] OTH El PTY SUBTOTAL$ "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)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA I from FORM through Page of NAME OF FILER . . .... • ER 2-,z z2— FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL�TENTER AMOUNT PER ELECTION DATE CONTRIBUTOR OC CUPATION AND E M LOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I,D, NUMBER) •R (IF SELF-EMPLOYED, EI, NAME) OF BUSINESS) PERIOD (JAW 1 - DEC. 31) (IF REQUIRED) IND 10/17/22 Lindsay Humphreys El COM El OTH El PTY E] SCC 10/18/22 Veronica Barrer W1 IND El COM 0 bTH Ll PTY SCC IND Eric Tilenius El COM Ll OTH El PTY El SCC W] IND 10/20/22 Alex Kirschenbaum El COM ■OTH El PTY 0 SCIC Z IND L] )M 0 ..... .. --- • "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 FIPIPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule (Continuation MonetaryContributions Received Amounts may be rounded to whole dollars. N, FIV=F1 SCHEDULE (CONT.) Page Of through NAME OF y ?ts , FULL NAME, STREETADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT PER ELECTION DATE CONTRIBUTOR OCCUPATION ANDEMPLOYERRECEIVEDCALENDAR • DATE RECEIVED (IF COMMITTEE, • ENTER..DNUMBER) (IF SELF-EMPLOYED, ENTER NAME) IV I •i, DREQUIRED) IND 10/20/22 Laura Smallwood El COM Not Employed ■ OT PTY IND 10/21/22 ElizabethSCC " f • , ' Professional El OTH Los Angeles County [I PTY El SCC IND IIIII!- - •Not Employed # El # 1 Sim r, IND El Technical writer Salesforce El OTH El PTY SCC CJ IND Web Content : Com OTH AmericanPhysical El PTY SCC "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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) mon etary U-55-Wrib-Nions eceived a ment covers ponou CALIFORNIA from. FORM 46( Page Of through K AM I.D. NUMBER 3(og L DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT PER ELECTION RECEIVED CONTRIBUTOR CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDARYEAR TO DATE (IF COMMITTEE, ALSO ENTER LD. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Z IND ia Range El COM Banker Bank of America 25 [I OTH 0 PTY El SCC Z IND L1 Com Scientist Inscripta 200 [I OTH El PTY —les Z IND Q COM Physician Self employed 50 Lj OTH [j PTY E3 SCC IND Irm, IMIM MGM L1 com FReal Estate Self 35 0 OTH El PTY EI-S.C.C, Z IND El com Not Employed [:1 OTH F1 PTY 7*ContributoF 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)) FPFC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. covers7arlod 1 from Page of Of through NAME OF FILER I.D. NUMBER e t-T FULL NAME, STREETADDRESS AND ZIP CODE OF DATE CONTRIBUTOR WAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER LID, NUMBER) OF BUSINESS) PERIOD (JAN, 1 - DEC, 31) (IF REQUIRED) Z IND 10/17 Matin Flores D COM Agricultural Inspector 200 200 El OTH State of California El PTY El SCC [_1 IND El COM El OTH [] PTY El SCC El IND El COM [I OTH El PTY D SCC E] IND El com [11 OTH El PTY El SCC ❑ IND El CO F-1 OTH F] PTY F] Sf-r, SUBTOTAL $ *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)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SEE INSTRUCTIONS ON REVERSE NAME OF FILER FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER LID, NUMBER) Joaquin Beltran— t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Amounts may be rounded to whole dollars. SCHEDULE B - PART Page through of I.D. NUMBER e, IF AN INDIVIDUAL, ENTER 'OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL e` CUMULATIVE OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD- CLOSE OF THIS PERIOD LOAN TO DATE OF BUSINESS) PERIOD NAME.. PERIOD - ❑ PAID ._ AI. N AR YEAR Candidate, Engineer, 0 $ 595.30 N/A $ 595.30 s 595.30_ �mm Community Organizer El FORGIVEN RATE PER ELECTION" Speak U America 0 595.30 0 N/A $ 0 10/5/22 Q $ $ DATE DUE DATE INCURRED -PAID -...m, CA„ENCSARYEAR . ❑ FORGIVEN $ ❑ PAID $ ❑ FORGIVEN $ g $ SUBTOTALS $ 595.30 $ 545.30 RATE $ DATE DUE $ PER ELECTION* I. DATE DUE $ --- ...e DATE INCURRED $ k , ke) a—_,.,s Schedule B Summary $ 595.30 1. Loans received this period (Total Column (b) plus unitemized loans of less than $100.) 0 2. Loans paid or forgiven this period............................................................... ....e.,,......., ,.,.. .......,,...$ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 595.30 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. (May be a nega9ive number) 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 *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. FPPC Form 4fiiJ (JanJ2416)J FPPC Advice: advice@fppc.ca.gov (866J275-3772) www.fppc.ca.gov Amounts may be rounded to whole dollars. CALIFORNIA FORM 4 of LD� NUMBER FULL NAME, STREETADDRESS AND DATE IF�IN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO DESCRIPTION OF DATE FAIR MARKET PER ELECTION TO DATE ZIP CODE OF CONTRIBUTOR RECEIVED (IF SELF-EMPLOYED, ENTER CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE, ALSO ENTER LID, NUMBER) NAME OF BUSINESS) (JAN 1 - DEC 31) COM OTH Office to be used if El SCIC []}wm OCom Om* UpTY LJSC« El IND El COM El OTH El SCIC Attach additional information on appropriately labeled continuation sheets. 1.Amount received this period — itemized nunmonebarycontributions. 50 (include all Schedule Cuubbote|al----------------__�-',~...... ._^-~-`~~^~^~~~~� 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ...... 3. Total nunmonetarycontributions received this period. 50 (Add Lines 1and 2.Enter here and onthe Summary Page, Column A.Lines 4and 1Qj-~-~~_.~,~-TOTAL$ *Contributor Codes 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)) FppcAdvice: adw«e@fppc.p,.gov(8sa/z75-sz7z Amountmay be rounded Schedule s E to whole dollars. st& ement covers period CALIFORNIA 46( Payments Made \ FORM from throuqh- SEE INSTRUCTIONS ON REVERSE I NAME OF FILER I.D. 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. MBR member communications RAD radio airtime and production costs CS 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 TIRS 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) ------------- Registrar Recorder County Clerk Am DESCRIPTION OF PAYMENT CFC I P.Q. Box, Mail, Mail Services * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 179.81 211.6 1.5 SUBTOTAIL$ -5 a\ Z r->t \ Schedule E Summary V3, 1. Itemized payments made this period. (include all Schedule E subtotals.) ..................................................................... ____ ....... __ ...... $ 2. Uniternized payments made this period of under $100 ................................................................................................... ...... ...... __ $ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ..................................... i4 2- 0-30o 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A. Line 6.)... ,,. .... _-- ... TOTAL $ _ =-si _;� FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov MA-0 - Nometli M.- am I- = a jmw; - gam SEE INSTRUCTIONS ON REVERSE 'NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period from throunh— SCHEDULE E(CONT Page —)—(,a of I.D. NUMBER Ci 11 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 RAID 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 TIRS 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 1,0 NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Godaddy, Inc. I WEB I Website services Reprox Media I CMP I Banners, signs, stickers, posters taples I CMP I Campaign materials, Pens, Markers Gilcon, Inc. I CMP I Flyers, Posters Squarespace I WEB I Website Services Payments that are contributions or independent expenditures must also be summarized on Schedule D. 842 5.49 92 0 FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E r., 1, & t � Iti, 1 Payments Made Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the payment, you may enter the coa CIVIP campaign paraphernalia/misc. MBR member communications CS campaign consultants IVITG 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 SCHEDULE E (CONT.) btatement covers perjou from Page Of I.D. NUMBER o (Ilu c / L- 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 TIRS 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) fPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IM