Gilroy Citizens Opposing Measure F - 460 - 2015/01/01 - 2015/06/30Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 1/1/2015
through 6/30/2015
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee
® Primarily Formed Ballot Measure
Q State Candidate Election Committee
Committee
Q Recall
Q Controlled
(Also Complete Part 5)
Q Sponsored
❑ General Purpose Committee
(Also Complete Part 6)
Q Sponsored
❑ Primarily Formed Candidate/
Q Small Contributor Committee
Officeholder Committee
Q Political Party /Central Committee
(Also Complete Part 7)
3. Committee Information
I.D. NUMBER
1372023
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Gilroy Citizens Opposing Measure F
STREET ADDRESS (NO P.O. BOX)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
COVER PAGE
Date Stamp
JUL 2 9 2015
Date of election if applicab age 1 of 12
(Month, Day, Year) Ofly OLBK S OEFlC For Official Use Only
GI R% OA
11/4/14
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
® Semi - annual Statement ❑ Special Odd -Year Report
❑ Termination Statement ❑ Supplemental Preelection
(Also file a Form 410 Termination) Statement - Attach Form 495
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Harvey Blodgett
MAILING ADDRESS
NAME OF ASSISTANT TREASURER. IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to
Proponent or ResDpnslble Officer of Sponsor
Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on By Date Signature of Controlsg Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
State of California
Type or print in ink.
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: List any 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 I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page of 12
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
City of Gilroy Safety & Quality of Life Measure
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
F Gilroy {7f 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
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
State of California
Campaign Disclosure Statement
Type or print in ink.
SUMMARY PAGE
Summary Page
Schedule H, line 3
Amounts may be rounded
Add lines 6 + 7 $
Statement covers period
p
Schedule F Line
10. Nonmonetary Adjustment ........... ...............................
to Whole dollars.
11. TOTAL EXPENDITURES MADE ................................
from 1/1/2015
bliffa
SEE INSTRUCTIONS ON REVERSE
through 6/30/2015 Page 3 of 12
NAME OF FILER l
y 5
� �
I.D. NUMBER
P jMr<reSl7.r�—
1372023
Contributions Received
Column A
Column B
Calendar Year Summary for Candidates
TOTALTHISPERIOD
(FROMATTACHED SCHEDULES)
CALENDARYEAR
TOTALTODATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions ............ ...............................
Schedule A, Line 3
$ 0 $
2. Loans Received ....................... ...............................
schedule B, Line 3
0
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines 1 +2
$ 0 $
20. Contributions
0
Received $ $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................
Add Lines 3 + 4
$ 0 $
Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
schedule E, Line 4 $
7. Loans Made .............................. ...............................
Schedule H, line 3
8. SUBTOTALCASH PAYMENTS ..... ...............................
Add lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ...............................
Schedule F Line
10. 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 1, Line 4
15. Cash Payments ................... ............................... Column A, Line 8above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
140 $
0
140 $
0
0
140 $
219.43
0
0
140
79.43
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
79.43
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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(If Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd /yy)
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule A
Monetary Contributions Received
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from - _ -- _1/1/2015
SCHEDULE A
SEE INSTRUCTIONS ON REVERSE
through 6/30/2015
Page 4 of 12
NAME OF FILER
I.D. NUMBER
1372023
��
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RE.ALSANNTERLD.NUMBER)
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO. DATE
PER ELECTION
RECEIVED
(EETA n
CODE *
OCCUPATION AND �EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
OF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN: 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
❑IND
❑ COM
❑ OTH
O
O
❑ PTY
❑SCC
❑IND
COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑ COM
OTH
❑ PTY
❑SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑'PTY
❑ SCC
SUBTOTAL$
0
Schedule A Summary
1. Amount received'this:period — itemized monetary contributions. 0
(Include all Schedule A subtotals.) ...... ................................................................. ............................... $
2. Amount received,thiSperiod — unitemized monetary contributions of less than $100 ............................. $ 0
3. Total monetary contributions received this period.
(Add Lines 1 and 2 E t h d th S P C 1 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
n er ere an on a ummary age, o umn A, Llne 1.) ....................... TOTAL $
FPPCForm 460 (January/05)
FPPC Toll -Free Helpline: 866/ASK -FPPC (8661275 -3772)
SCHF171111 F R - PART 1
01wil IW 1ulW 6 — Irari -t Amounts may be rounded
Statement covers period
Loans Received to whole dollars.
1/1/2015
a - •' .�
from
•
6/30/2015
12
SEE INSTRUCTION
_ S ON REVERSE
through
page
Pag@ - Of
NAME OF FILER
I.D. NUMBER
1372023
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
lb)
AMOUNT
(c)
AMOUNTPAID
(d)
OUTSTANDING
(e)
INTEREST
(
ORIGINAL
g)
CUMULATIVE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED; ENTER
BALANCE
BEGINNING THIS
RECEIVED THIS
OR FORGIVEN
BALANCEAT
CLOSE OF THIS
PAID THIS
AMOUNTOF
CONTRIBUTIONS
NAMEOFBUSINESS)
PERIOD
PERIOD
THIS PERIOD`
PERIOD
PERIOD
LOAN
TO DATE
❑ PAID
CALENDARYEAR
❑ FORGIVEN
PER ELECTION-
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
S
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION'•
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
FORGIVEN
PER ELECTION*"
RATE
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTALS $ 0$ 0 $ 0 $ 0
Schedule B Summary
1. Loans received this, period ......................................... .............. $ 0
.............................. ...............................
(Total Column (b),plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period $ 0
...... ........ ............ ...............................
(Total Column (c) plus loans under $100 paid orforgiven.)
(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.) NEr $ 0
......................... ...............................
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.
on
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 (January/05)
FPPC Toll -Free Helpliner866 /ASK -FPPC (8661275- 3772)
E2 n_-i .f
SCHEDULEB -PART2
vVk��iV MSG IV — r 431 L L IYPW VI P"""" "'~ Amounts may be rounded
Amo
Loan Guarantors to whole dollars:
Statement covers period
1/1/2015
from
o -
FORM �i • '.
SEE INSTRUCTIONS
_ON REVERSE
6/30/2015
through
page 6 of 12
NAME OF FILER
W. NUMBER
1372023
FULL NAME, STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE, ALSO ENTER LD:NUMBER)
CONTRIBUTOR
CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
NAMEOFBUSINESS )
LOAN
AMOUNT
GUARANTEED
THIS PERIOD
CUMULATIVE
TO DATE
BALANCE
OUTSTANDING
TO DATE
❑IND
-
LENDER
CALENDAR YEAR
❑ COM
$
DATE
[]OTH
❑ PTY
PER ELECTION
(IF REQUIRED)
❑ SCC
5
❑ IND
LENDER
CALENDAR YEAR
❑ COM
a
❑ OTH
PER ELECTION
❑PTY
DATE
(IF REQUIRED)
❑ SCC
E
CALENDARYEAR
❑ IND
LENDER
❑ COM
s
❑ OTH
❑ PTM
-
PER ELECTION
(IF REQUIRED)
DATE
❑ SCC
t
❑IND
LENDER
CALENDAR YEAR
❑ COM
s
❑ OTH
❑ PTY
PER ELECTION
(IF REQUIRED)
DATE
❑ SCC
Enleran
SUBTOTAL $ 0 Swnn-yPage,
Une 77 ordy
FPPC Form 460 (January/05)
FPPC Toil -Free Helpiine: 866/ASK -FPPC (8661275 -3772)
Schedule C Type or print In ink.
SCHEDULF;E
Nonmonetary Contributions Received to whole dollars..Mtl.
Statement covers period
-
e ,
• ''
from 1/1/2015
0 -
SEE INSTRUCTIONS ON REVERSE
through 6/30/2015
Page 7 of 12
NAME OF FILER
LD. NUMBER
1372023
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
GOODS OR SERVICES
FAIR MARKET
VALUE
CALENDAR YEAR
TO DATE
(IF REQUIRED)
NAME OF BUSINESS
(JAN 1 - DEC,31)
❑IND
❑COM
❑OTH
❑ PTY
❑ SCC
❑IND
EICOM
❑OTH
❑ PTY
❑SCC
❑IND
❑COM
❑OTH
❑ PTY
❑SCC
❑IND
-
❑COM
❑ OTH
❑ PTY
❑SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions.
(Include.all Schedule C subtotals.) ...................................................................................... ............................... $
2. Amount received this. period — unitemized nonmonetary contributions of less than $100 ..... ............................... $
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 $
0
*Contributor Codes
IND— Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Politicat Party
SCC —Small Contributor Committee
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772)
Schedule D
r%- ------ - - - -1 r-- -' -- - -a °i- - --
-
cr i-Ikni m c n
%0%41911111161111y v1 VAjJ11W11U1LU1 C.1 rype or print In mu.
Statement covers. period
Amounts may be rounded
Supporting/Opposing Other
CALIFORNIA
� •'
to whole dollars.
Candidates, Measures and Committees
from 1/1/2015
,'
FORM
6/30/2015
8 12
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.O. NUMBER
1372023
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
OR COMMITTEE
(IF REQUIRED)
PERIOD
JAN.1 -DEC. 31)
(IF REQUIRED)
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
—
Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
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 ...................................................... ............................... $
3. Total contributions: and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
I
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule E
Payments Made
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/1/2015
SEE INSTRUCTIONS ON REVERSE through 6/30/2015 Page 9 of 12
NAME OF FILER I.D. NUMBER
Ip 1372023
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
CTI3
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
M
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
AMOUNTPAID
CA Secretary of State
OFC
Annual Filing Fee
$50
Pinnacle Bank
OFC
Bank Service Charges
$90
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 140
Schedule E Summary
1. Itemized payments made this period. Include all Schedule E subtotals. ............................................. ............................... $ 140
2. Unitemized payments made this period of under $100 ............................................................................................................ .............................. $ 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ................................................ ............................... $ 0
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. 140
P Y P ( Summary 9 ) . ............................ TOTAL $
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule F
Accrued Expenses (Unpaid Bills)
SEE INSTRUCTIONS
NAME OF FILER
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULEF
Statement covers period
from 1/1/2015
through 6/30/2015 I Page 10 of 12
I.D. NUMBER
1372023
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
campaign paraphemalia/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
PEr
petition circulating
TEL
U. 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 CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR
DESCRIPTION OF PAYMENT
(
OUTSTAA NDING
BALANCE BEGINNING
OF THIS PERIOD
(N
AMOUNT (INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
• Payments that are contributions or independent expenditures must also be SUBTOTALS $
summarized on Schedule D. $ 0 $ 0 $ 0
Schedule F Summary
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 $
0
2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0
accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) ................................................................................................................. ............................... NET $ 0 May.be a negative number
FPPC Form 460 (January105)
FPPC Toll -Free Helpline: 8661ASK -FPPC (8661275 -3772)
crul =nl B c u
Schedule H Type or print In ink
Statement covers period
Loans Made to Others* Amounts may be rounded
1/1/2015
_
to whole dollars.
from
6/30/2015
11 12
SEE INSTRUCTIONS ON REVERSE
through
Page Of
NAME OF FILER
I.D. NUMBER
1372023
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(a
OUTSTANDING
@)
AMOUNT
(c)
REPAYMENT OR
q
OUTSTANDING
(e)
INTEREST
M
ORIGINAL
(9)
CUMULATIVE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF - EMPLOYED, ENTER
BALANCE
BEGINNING THIS
LOANED THIS
FORGIVENESS
BALANCE AT
CLOSE OF THIS
RECEIVED
AMOUNT OF
LOANS
NAME OF BUSINESS)
E IOD
PERIOD
THIS PERIOD'
PERIOD
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
$
E
%
S
E
_ - -
E] FORGIVEN
PER ELECTION—
RATE
DATE DUE
DATE INCURRED
Q PAID
CALENDAR YEAR
PER ELECTION"
FORGIVEN
Rn7E
DATE DUE
DATE INCURRED
"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. SUBTOTALS
$ 0
$ 0
$ 0
$ 0
(Enter (e) on - - -
Schedule I. Line 3)
Schedule H Summary
1. Loans made this period ............................................. 0
...................................................................... ............................... $
(Total Column (b) plus unitemized loans of less than $100.) "If Required
2. Payments received on loans ............................. ................ $ 0
............................................................... ...............................
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.) .............................................
. ............. ............................... NET $ 0
(Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number)
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule
Tuna nr nrint in ink
Rrl11:1`1I u G I
Miscellaneous Increases to Cash Amounts maybe rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
statement covers period
1/1/2015
from
through 6/30/2015
9
FORM O � ''
12 12
Page of
NAME OF FILER
I.D. NUMBER
1372023
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER )
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
0
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0
Schedule I Summary
1. Itemized increases to cash this period ........................ $ 0
2. Unitemized increases to cash of under $100 this period. $ 0
3. Total of all interest received this period on loans made to others. Schedule H, Column (e).) .................. $ 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 $ 0
FPPC Form 460 (January106)
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