HomeMy WebLinkAboutCatherine Alvarez Recall Effort by Concerned Citizens of Downey Supporting the Recall of Catherine Alvarez - 460 (01-15-23 thru 06-30-23)_RedactedRecipient' Committee
COVER PAGE
Campaign Statement
Date Stamp
Cover Page
s
mmm
. �
Page of
Statemejit covers period
Date of election if applicable:
from � ,__._
(Month, Day, Year)
23 i s
For Official Use Oni y
SEE INSTRUCTIONS ON REVERSE
through
A
CaF # OF DWNEY
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
2. Type of Statement:
❑ Qfficeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
❑ preelection Statement ❑ Quarterly Statement
V State Candidate Election Committee Committee
Recall O Controlled-
Semi-annual Statement ❑ Special Odd -Year Report
Termination Statement
(Also Complete Parts) O Sponsored'
(Also file a Form 410 Termination)
(Also Complete Part6)
❑ Amendment (Explain below)
❑ General Purpose Committee
Sponsored ❑ Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also Complete Part7)
3. Committee information
LD. NUMBER
Treasurer(s)
OMMITTEE NAME (OR CANDIDATE'S NAME IF NO C MMITTEE) s
NAME OF TREASURER
'"4 n
STRE TADDRESS (NO RO. BOX)
CITY !� STATE - _ZIP CODE AREA CODE/PHONE'
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREAS RER, IF ANY
STREET OR P.O. BOX
LING ADDRESS
ITY STATE ZIP CODE AREA CODE/PHONE
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 perj,lru under the laws of the Stateof California that the foregoing is true and co
Executed on _ By
Date
er
Executed on By s
Date Signature of Controlling Officeholder Candidate, State Measure Proponent or Responsible Officer of Sponsor
Executed on By
Date Signature of Controlling officeholder, Candidate, State Measure Proponent
Executed an 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
Recipient Committee
COVER PAGE - PART 2
paign ttementCover
Camimm
e - Part
Page Q. of
5. Officeholder or Candidate Controlled Committee
6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF BALLOT MEASURE
OFFICE SOUGHT OR HELD (INCLUDE L CA ION AND DISTRICT NUMBER IF APPLICABLE)
BALLOT NO. OR LETTER
RISDICTION
❑ SUPPORT
❑ OPPOSE
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET)` CITY STATE ZIP
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
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
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D.=NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
7• Primarily Formed Candidate/Officeholder Committee Listnames of
officeholder(s) or candidate(s) for which this committee is primarily formed
YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) --
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
Ej SUPPORT'
CITY STATE ZIP CODE AREA CODE/PHONE
NAME QF OFFICE L ER OR CANDIDATE
OPPOSE
OFFICE SOUGHT OR HELD
SUPPORT
COMMITTEE NAME
I.D. NUMBER'.
❑ OPPOSE
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 ❑ N0
❑ SUPPORT
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
❑ OPPOSE
Attach continuation sheets if necessary
CITY STATE' ZIP CODE AREA CODE/PHONE
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 FILE
Amounts may be rounded
to whole dollars. Statement covers period
A,JriIn
:from. _ ®i .— g
through k
/204-23
1 "'NA L/111 ;
° °
Contributions
Contributions Received
Column A=
TOTAL THIS PERIOD
Column B
CALENDAR YEAR
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
1.
Monetary Contributions........
Schedule A, Line 3
$ °
$ r
2.
........ ..........
Loans Received....:::....... ...... .......... ---- ...
Schedule B, Line 3
3.
SUBTOTAL CASH CONTRIBUTIONS ......,:: ........ c......
Add Lines 1 + 2
$
$
4.
Nonmonetary Contributions: .......: .........
Schedule C, Line 3
5.
TOTAL CONTRIBUTIONS RECEIVED...:................ —
....... Add Lines 3+ 4
$
$
SUMMARY PAGE
I.D. NUMBER
1
Calendar Year Summary far Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 711 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditures Made
6. Payments Made...,.;: : Schedule E, Line 4
$
$ i 1
Expenditure Limit Summary for State
Candidates
...... ........: ...:.
7. Loans Made .....:.:. .......... ...:::. .......:.. , , ...... Schedule H, Line 3
8. SUBTOTAL CASH: PAYMENTS......, Add Lines 6 + 7
$
" 1
' $ " ®
22. Cumulative Expenditures Made*
Subject to Voluntary Expenditure Limit)
...:
9. Accrued Expenses (Unpaid Bills) ..... ........ ........ Schedule F, Line 3
�
(tt
Date of Election Total to Date
10. Nonmonetary Adjustment ....:. ........ ............ Schedule C, Line 3
(mmlddlyy)
11. TOTAL EXPENDITURES MADE... :..:: .... .Add Lines 8+9+'10
$
2 W7,$5o, 7,iai
!
Current Cash Statement
$
12. Beginning Cash Balance ....: Page, Line 16
.......... ..... ... Previous Summary
$
To calculate Column B,
13. Cash Receipts .—..... .... Column A, Line 3 above
add amounts in Column
14. Miscellaneous Increases to Cash schedule 1, Line 4
A to the corresponding
amounts from Column B
*Amounts in this section may be different from amounts
reported inColumn `B.
15. Cash Payments .....:... Column A, Line s abovefro
"""'""'" '
of your last report. Some
amounts in Column A may
16. ENDING CASH BALANCE .....:::..........Add Lines 12 + 13 + 14 then subtract Line 15
$
be negative figures that
should be subtracted from
tf this is a termination statement, Line 16 must be zero.
previous period amounts. if
this is the first report being
filed for this calendar
17. LOAN GUARANTEES RECEIVED .:: .......................... Schedule B, Part 2
$
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
$
Pa
19. Outstanding Debts: . .................. Add Line 2 + Line 9 in Column B above
$
.�
FPPC Form 460 (Jan(2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
chpirfiflp
Amounts may be rounded SCHEDULE A
..: • Contributions • . . . • ,,. ♦.• ••...
•
Statement r periodCALIF'OR/VIA
from
FORM
may
throug,TRU
Page
�i�
SEE INS TIONS ON REVERSE
NAME OF FILER I.D. NUMBER
�tl
� • • w • w • • u , . . M w ' •iIy
w ELECTION,
)FULL NAME, wUN
DATE
CONTRIBUTOR RECEIVED THIS CALtN R YEAR TO DATE
RECEIVED !• r •
BU PERIOD
(IF CCMMITTEE� ALSO ENTER LD� NUMBER) SINESS) (JAN. I - EC. 31) (IF REQUIRED)
M ® •
.3�►X
tl
i aw ; w
i it 'I
yy
® •
.+w a..
El PTY
a.. !
•+�.
1
Schedule A Summary "Contributor Codes
1. Amount received this period — itemized monetary contributions. IND — Individual
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.).....:..............TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
FPPC Form 460 (Jan/2016))
FPPCAdvice: advice@fppc.ca.gov (866/275-3772)
www.fppc.cagov
SCHEDULE 6 - PART 1
Schedule — art 1
novu„ta ,,,uy uc ,vu„uau
to whole dollars.
Statement covers periodimm
l..Oc'i11 eci:Iet�
from��^
'60
through
Page
of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
FULL NAME, S7REE ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENT OUTSTANDING
OCCUPATION AND EMPLOYER BALANCE
AMOUNT AMOUNT PAID
RECEIVED THIS OR FORGIVEN
OUTSTANDING
'BALANCE AT
INTEREST
PAID THIS
ORIGINAL
AMOUNTOF
CUMULATIVE
CONTRIBUTIONS
OF LENDER
(IF COMMITTEE, ALSO'ENTER LD.:Nu, ER)
(iF -EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
PERIOD
THISPERIOD-
CLOSE OF THIS
PERIOD
PERIOD
LOAN
TO DATE '.
PAID
CALENDAR YEAR
$
$
°�
$
$:
RATE.
FORGIVEN
PER ELECTION *
$
tK4
$
$
$
$
DATE DUE
DATE INCURRED
f ND ❑ COM ❑ OTH ❑ PTY ❑ SCC
PAID -,
CALENDAR YEAR
$
I$
%
':$
$.::
El FORGIVEN
PER ELECTION**
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
DATE DUE
DATE INCURRED
❑ PAID :
CALENDARYEAR
❑ FORGIVEN
PER ELECTION"`
RATE
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $
� $ $ �
(Enter (e) on Schedule E Line 3)
Schedule Summary
1. Loans received this period ........ .................: .......:......... .........: ........: .................. . ........:,......$
(Total Column (b) plus unitemized loans of less than $100.) tContributor Codes
2. Loans paid or forgiven this period........ : .............. .... __........ .......,......$
-i— loolo
IND - Individual
(Total Column (c) plus loans under $100 paid or forgiven.) COM:- Recipient Committee
(Include loans paid by a third party that are also itemized on Schedule A) (other than PTY or SCC)
3. Net change this period. (Subtract Line 2 from Line 1:) .......:..... ...... . NET $ �' 00 OTH -Other (e.g., business entity)
Enter the net here and on the Summary Page, Column A, Line 2. PTY- Political Party
SCC Small Contributor Committee
(May be a negative number)
*Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required. FPPC Form 460 (1anj2016)}
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE B - PART 2
Schedule ,— Part 2 Amounts may be rounded
Statement covers period
Loan uarant r� to whole dailars.from
am
4
-
Page t B of
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER I.D, NUMBER
4
FULL NAME, STREET DRESSAND ZIP CODE OF CONTRIBUTOR N INDIVIDUAL; ENTER= AMOUNT CUMULATIVE BALANCE
OC PATIQN AND EMPLOYER LOAN GUARANTEED OUTSTANDING
CONTRIBUTOR *
CODE (IF SELF-EMPLOYED, ENTER TO DATE
THIS PERIOD TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) NAME OF BUSINESS)
LENDER
CALENDAR YEAR
IND
COM
$
OTH
p
PER ELECTION
PTY
(IF REQUIRED)
El SCIC
$
LENDER
CALENDAR YEAR "
El IND
GOM
$
OTH
DATE
PER ELECTION
P Y
REQUIRED)
❑S C
ZZ""'(IF
$
CALENDAR YEAR
LENDER
El IND
] COM
$
OTH
PER ELECTION
PTY
DATE
(IF REQUIRED)
El SC
$
LENDER
= CALENDAR YEAR
Ej IND
COM
$
OTH
PER ELECTION
PTY
DATE
(IF REQUIRED)
SC.0
$
n er on
SUBTOTAL $ 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 Amounts may be rounded SCHEDULE C
a_...v _e I—___
WWI [Ulu L7 VS1tXi S. W
ilCl onetc" Contributions ReceivedW
Statement covers period
from
®� I
through L
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.R. NUMBER
TIFN INDIVIDUAL, ENTER CUM IVE TOL NAME, STREETADDRESSAND AMOUNT/ PER ECECTtON
DATE CONTR18UT0PATIQN AND EMPLOYER DESCRIPTION OF DATE
ZIP CODE OF CONTRIBUTOR FAIR MARKET TO DATE
*
RECEIVED CODE (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES CALENDAR YEAR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) VALUE (IF REQUIRED);
OF BUSINESS) (JAN 1 31)
,NAME --DEC -:
❑ IND
❑ Cam
OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑P
D
C
❑ TH
❑ PTY
❑ SCC
❑ IND
❑171 COM
❑ PTY
❑ scc
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule C Summary; *Contributor Codes
1. Amount received this period - itemized nonmonetary contributions. IND - Individual
. ........: COM _Recipient Committee
(Include all Schedule G subtotals.)..... .. .......: . ....:.:.. ......:........... ........: ........:......... .................;� (other than PTY or SCC)
OTH - Other (e.g., business entity)
2. Amount received this period - unitemized nonmonetary contributions of less than'$100 ::........:$ PTY- Political Party
SCC - Small Contributor Committee
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. $
FPPG Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule
SCHEDULE D
Summary of Expenditures
Amounts may be rounded
Statement covers period
U portin % pposin ther
to whole dollars.
/�-_%
imm
Candidates, Measuresand C itee
from, Ck Is:
through
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
a
r
AME OF CANDIDATE, OFFICE, AND DISTRICT, OR
DESCRIPTION
CUM ` VE TO DATE PER ELECTION
AMOUNT THIS
DATE MEASURE NUMBER OR LETTER AND JURISDICTION,
FTYPEOF PAYMENT
(IF REQUIRED)
—' CALENDAR YEAR TO DATE
OR COMMITTEE
(JAN. 1-DEC.31) (IF REQUIRED) ;
❑
Monetary
Contribution
~
❑
Nonmonetary
Contribution
❑ Support ❑ Oppose
Exp Lure
onetary
Contribution
❑
Nonmonetary
Contribution
❑
Independent
❑ Support O se
Expenditure
❑
Monetary -
Contribution
❑
Nonmonetary
Contribution
❑
Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL
$
Schedule D Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) .............. ....:..:: , ..... $
2. Unitemized contributions; and independent expenditures made this period of under $100 ........... .................... __....... ..... ............... :::..... $
1 Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.)..... ... .. TOTAL... Tv
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
Amounts may be rounded
to whole dollars.
Statement covers period
Accrued Expenses (Unpaid Bills)
from
0
-6o za
through
of
SEE INSTRUCTIONS ON REVERSE,Page
NAME OF FILER
I.D. NUMBER
CODES: If one of thowing codes accurately des_crlbe
ejD
the
payment,'Vou may enter the code. Otherwise, describe the payment.
CMIP 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 staffispouse 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 CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
* Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $
summarized on Schedule D.
Schedule F Summary
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 $
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 uniternized payments on accrued expenses under $100.) ............ ............. ........PAID TOTALS $
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 1;
May,ee a —negative number
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 Independe
Amounts may be rounded
to whole dollars.
ient covers feric
SCHEDULE G
through
Page _Q0_ of QQ.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
op—AAW6�
i44cs 0q
NAME OFAGENTORI E
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)
* Payments that are contributions or independent expenditures must also be
summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Attach additional information on appropriately labeled continuation sheets. TOTAL* $
Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC 0 (Jan/2016))
independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE H
Schedule
Amounts may be rounded
Stateme t cover period
to whole dollars.
Loans Made t Others*
from
through
Page —
r
of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER' '
I.D. NUMBER
FULL NAME, STREE DRESS AND ZIP CODE
IFAN I IVIDUAL, ENTER
OCCUPATION AND EMPLOYE
(a) (b) c a
OUTSTANDING OUTSTANDING
AMOUNT REPAYMENT OR
(f}
ORIGINAL
g
CUMULATIVE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D..NUMBER)
(IF SELF-EMPLOYED, ENTER
BALANCE BALANCE AT INTEREST
LOANED THIS :FORGIVENESS CLOSE OF THIS RECEIVED
BEGINNING THIS
AMOUNT OF
LOANS
TO DATE
-NAME OF'BUSINESS)
,PERIOD THIS PERIOD*
.LOAN
0 PAID
CALENDAR YEAR
$
$
$
RATE
FORGIV
PER ELECTION *
DATE DUE
DATE INCURRED
NJ
PAID
CALENDAR YEAR
$
$
1
$
-
" RATE
FORGIVEN
PER ELECTION*
$
$
$
$
$'
DATE DUE
DATE INCURRED
*Loans that are contributions to another candidate or comm' e must
also be summarized on Schedule" D. Loans forgiven must also be
reported on Schedule E.
SUBTOTALS
$
$
$
(Enter (a) on
Schedule 1, Line 3)
Schedule H Summary
1. Loans made this period... ......... .......................................... ............................. .;.:. ..... ..$
(Total Column (b) plus unitemized loans of less than $100.) -If Required
2. Payments received on loans.... ....... --- ......... ....,........: ..... ..: :::....... ........—.........$
(Total Column (c) plus unitemized payments of less than $100)
3. Net change this period. (Subtract Line 2 from Line 1.) ... ....... ........ .......... ........... ........... ................ NET $ _
(Enter the net here and on the Summary Page, Column A, Line 7
(May be a negative number)
FPPC Form asa (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
r
Schedule I Amounts may be rounded SCHEDULE 1
Miscellaneous Increases to -Gash to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
through
« .
a Pa of
g
NAME OF FILER
DATE FULL NAME AND ADDR 55OF50URCE
DESCRIPTION OF RECEIPT
RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
I.D, NUMBER
t
AMOUNTOF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets: SUBTOTAL $
-1, Itemized increases to cash this period . ....... . ........ ....: .........................-........:....... :::.......,..$
2. Unitemized increases to cash of under $100 this period.....:,........ ........ ...... .......:. ............. .-$
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ... .................... $
4. Total miscellaneous increases to cash this period (Add Lines 1, 2, and 3 Enter here and on the < . "�
Summary Page, Line 14.) ......... ........: ....... .......: ...
......:; .... ....' TOTAL $
......FPPC Form 460 (Jan%2016)}
FPP Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov