HomeMy WebLinkAbout460T Recipient Committee Campaign Statement - Scharf for Cupertino City Council 2022 - TerminationRecipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
from
Statement covers period I Date of election if applicable:
(Month, Day, Year)
through 3/30/2026
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
0 Officeholder, Candidate Controlled Committee
State Candidate Election Committee
Recall
(Also Complete Pert 5)
❑ General Purpose Committee
Sponsored
Small Contributor Committee
Political Party/Central Committee
3. Committee Information
❑ Primarily Formed Ballot Measure
Committee
Controlled
11 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Scharf for Cupertino City Council 2022
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREACODE/PHONE
Cupertino CA 95014
MAILING ADDRESS (IF DIFFERENT) NO, AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREACODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date Stamp
RECEIVED
JUL 17 2026
Lurr1% 11
2. Type of Statement:
❑ Preelection Statement
❑ Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Steven Scharf
MAILING ADDRESS
CITY
COVER PAGE
Page of —
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
CITY STATE ZIP CODE AREA CODE/PHONE
Cupertino CA 95014
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
STATE ZIP CODE AREACODE/PHONE
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 true and correct.
Executed on 07/17/2026 By
Date
Executed on By
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 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
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)
RESIDENTIAL/BUSINESS 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 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 STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Page of
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
❑ 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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period -
Summary Page ,
from
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Contributions Received
1. Monetary Contributions...................................................
Schedule A, Line 3 $
2. Loans Received................................................................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2 $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines3+4 $
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4 $
7. Loans Made.......................................................................
Schedule H, Line 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
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 8 above
16. ENDING CASH BALANCE ..................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 Schedule B, Part2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................See See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $
through
Column A Column B
TOTAL THIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE
$
To calculate Column B,
add amounts in Column
Ato 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
Page of
I.D. NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30 7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
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)
�� $
Schedule A Amounts may be rounded SCHEDULE A
=o wnoie oouars.
Monetary Contributions Received
statement covers period
from
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
CODE *
(IF SELF-EMPLOYED, ENTER NAME
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
El ND
❑ COM
❑ OTH
❑ PTY
El SCC
❑ IND
El COM
❑ OTH
El PTY
❑ SCC
El IND
❑ COM
❑ OTH
El PTY
❑ SCC
❑ IND
El COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.).........................................................................................................$
2. Amount received this period — unitemized monetary contributions of less than $100
.................$
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $
*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 contra buttons Received to wnoie aouars•
Statement covers period
from
• -
through
Page of
NAME OF FILER
I.D. NUMBER
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN 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 I.D. NUMBER)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
_]OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Li ND
❑ COM
❑ OTH
❑ PTY
SCC
SUBTOTAL$
*Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
0TH — Other (e.g., business entity)
PTY — Political Party
SCC - Small Contributor Committee
SCHEDULE B - PART I
Schedule B — Part 1 to whole dollars. �V~
Statement covers period
• _
Loans Received
from
•
through
Page of
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
a
OUTSTANDING
(b)
AMOUNT
(C)
AMOUNT PAID
(d)
OUTSTANDING
(e)
INTEREST
ORIGINAL
(g)
CUMULATIVE
OF LENDER
OCCUPATION AND EMPLOYER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANCE AT
PAID THIS
AMOUNT OF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IFSELF-EMPLOYED, ENTER
BEGINNING THIS
PERIOD
THIS PERIOD*
CLOSE OF THIS
PERIOD
LOAN
TO DATE
NAME OF BUSINESS)
PERIOD
PERIOD
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION
DATE DUE
DATE INCURRED
1O IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION{''`
RATE
$
$
$
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PER ELECTION"*
DATE DUE
DATE INCURRED
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ $ $ $
(Enter (e) on Schedule E, Line 3)
Schedule B Summary
1. Loans received this period..........................................................................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period...............................................................
(Total Column (c) plus loans under $100 paid or forgiven.)
(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.) .............................
Enter the net here and on the Summary Page, Column A, Line 2.
'Amounts forgiven or paid by another party also must be reported on Schedule A.
** If required.
.. NET $
(May be a negative 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
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE B - PART 2
Schedule B — Part 2 Amounts may be rounaea
Statement covers period
.
to whole dollars.
•
• 1
Loan Guarantors
Ifrom
'
•
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
CUMULATIVE
BALANCE
CONTRIBUTOR
*
CODE
(IF SELF-EMPLOYED, ENTER
LOAN
GUARANTEED
THIS PERIOD
TO DATE
OUTSTANDING
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
NAME OF BUSINESS)
LENDER
CALENDAR YEAR
❑ IND
❑ COM
❑ OTH
DATE
PER ELECTION
PTY
(IF REQUIRED)
❑ SCC
$
LENDER
CALENDAR YEAR
❑ IND
❑ COM
$
❑ OTH
DATE
PER ELECTION
❑ PTY
(IF REQUIRED)
❑SCC
$
CALENDAR YEAR
LENDER
❑ IND
❑ COM
❑ OTH
PER ELECTION
❑ PTY
DATE
(IF REQUIRED)
❑SCC
$
LENDER
CALENDAR YEAR
MIND
❑ COM
$
❑ OTH
PER ELECTION
❑ PTY
DATE
(IF REQUIRED)
❑ SCC
g
nter 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
t h 1 od II
w oe ors.
Nonmonetary Contributions Received
Statement covers period
. 1
from
•
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
DATE
FULL NAME, STREET ADDRESS AND
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
DESCRIPTION OF
AMOUNT/
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
CODE
(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
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
LI COM
❑ OTH
❑PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
LIJ PTY
❑ SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
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 $
*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 D
SCHEDULE D
summary or tx enaitures Amounts may be rounaea
Statement covers period
to whole dollars._
Supporting/Opposing Other_
'
•
Candidates, Measures and Committees
from
SEE INSTRUCTIONS ON REVERSE
through
Page of
NAME OF FILER
I.D. NUMBER
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
CUMULATIVE TO DATE
PER ELECTION
DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CALENDAR YEAR
TO DATE
OR COMMITTEE
(IF REQUIRED)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
El Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
El 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.. $
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule D
(Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT.)
Summary of Expenditures to whole dollars.
Statement covers period
_ I
'
Supporting/Opposing Other
' ' •
from
Candidates, Measures and Committees
through
Page of
NAME OF FILER
I.D. NUMBER
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
DESCRIPTION
AMOUNT THIS
CUMULATIVE TO DATE
PER ELECTION
DATE
MEASURE NUMBER OR LETTERAND JURISDICTION,
TYPE OF PAYMENT
(IF REQUIRED)
PERIOD
CALENDAR YEAR
TO DATE
OR COMMITTEE
(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
❑ Monetary
Contribution
❑ Nonmonetary
Contribution
❑ Independent
❑ Support ❑ Oppose
Expenditure
SUBTOTAL $
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
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
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)
SCHEDULE E
Page of
.D. NUMBER
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
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.).
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E Amounts may be rounded
(Continuation Sheet) to whole dollars.
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Statement covers period
from
through
SCHEDULE E (CONT.)
Page of
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
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
0FC
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
PH0
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
P0L
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
P0S
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
V0T
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. SUBTOTAL $
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULEF
Schedule F
Accrued Expenses (Unpaid Bills)
Amounts may be rounded
to whole dollars.
Statement covers period
from
SEE INSTRUCTIONS ON REVERSE
through
Page of
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
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 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 unitemized payments on accrued expenses under $100.) ..................................PAID 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 $
May be a negative number
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
(Continuation Sheet)
Accrued Expenses (Unpaid Bills)
Amounts may be rounded
to whole dollars.
Statement covers period
from
SCHEDULE F (CONT.)
through
Page of
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
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 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
SUBTOTALS $
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 Independent
Contractor (on Behalf of This Committee)
SEE INSTRUCTI
NAME OF FILER
NAME OF AGENT OR INDEPENDENT CONTRACTOR
CODES: If one of the following codes accurately describes the
CMP
campaign paraphernalia/misc.
MBR
CNS
campaign consultants
MTG
CTB
contribution (explain nonmonetary)*
OFC
CVC
civic donations
PET
FIL
candidate filing/ballot fees
PHO
END
fundraising events
POL
IND
independent expenditure supporting/opposing others (explain)*
POS
LEG
legal defense
PRO
LIT
campaign literature and mailings
PRT
Amounts may be rounded
to whole dollars.
payment, you may enter the code.
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
covers
from
through
SCHEDULE G
Page of
I.D. NUMBER
Otherwise, describe the payment.
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
TRS
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)
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
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
independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
SCHEDULE H
Schedule H Amounts may be rounded I
Statement covers period
• .
to whole dollars. I
i
Loans Made to Others*
from
• -
SEE INSTRUCTIONS ON REVERSE
I through
Page of
NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(a)
OUTSTANDING
(b)
AMOUNT
(c)
REPAYMENT OR
OUTSTANDING
(e)
(f)
ORIGINAL
(g)
CUMULATIVE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BALANCE
BEGINNINGTHIS
LOANED THIS
FORGIVENESS
BALANCEAT
CLOSE OF THIS
INTEREST
RECEIVED
AMOUNT OF
LOANS
NAME OF BUSINESS)
PERIOD
PERIOD
THIS PERIOD*
LOAN
TO DATE
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
RATE
❑ FORGIVEN
PER ELECTION
$
$
$
$
$
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
$
$
$
$
(Enter (e) on
Schedule I, Line 3)
Schedule H Summary
1. Loans made this period.......................................................................
(Total Column (b) plus unitemized loans of less than $100.)
2. Payments received on loans...............................................................
(Total Column (c) plus unitemized payments of less than $100.)
3. Net change this period. (Subtract Line 2 from Line 1.) ........................
(Enter the net here and on the Summary Page, Column A, Line 7.)
.........................$
....................$
......................... NET $
'"If Required
(May be a negative number)
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule I Amnnnf¢ mw hn .nnn.fe f SC:HFF)I II F I
Miscellaneous Increases to Cash to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers periodS
from
through
_
Ii
Page of
g
NAME OF FILER
I.D. NUMBER
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule ummary
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
SummaryPage, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov