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460 Recipient Committee Campaign Statement - Termination 7-1-17 to 12-31-17COVER PAGE Recipient Committee atem V Campaign Statement i `_ ' • Cover Page An SEE INSTRUCTIONS ON REVERSE Statement covers period from 07rot~t r through kz_3(-[ 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. tg Officeholder, Candidate Controlled Committee O State Candidate Election Committee Q Recall rAlso Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored {ksc Complete Part 6) ❑ Primarily Formed Candidatel Officeholder Committee (Also Complefe Part 7) 3. Committee information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) onr1N a of +0V C � 1 CC&"Cn ! 2-01(.0 STREETADDRESS (NO P.O- 80X) cos [ I M a_o(ey-Gi Dr . CITY STATE ZIP CODE AREA CODEIPHONE Ck) p.e�ivlb cP, Gtl�-o I L- us6- &(O&l --uss� MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS - F JAN 3 I 2 �� 1 of J (Month, Day, Year)LY r Official Use Only C PERTINC CITY CLERK 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ® Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER a lei B kawJ&,"k. MAILING ADDRESS [cis (1 Me�dkm CITY JIAlt /-IV Cuut AREACOD&PHOKE CU�e\r v-1 CA 95-v�'t NAME OF ASSISTANT TREASURER, 1 F ANY MAILING ADDRESS AREA CODEIPHONE CITY STATE . ZIP CODE OPTIONAL: FAX IE -MAIL ADDRESS 4. Verification l have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informati n contained erein 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 Executed on a r r `4) By , pate Signature of Controlling Officeholder, Candfdate, State Measure Proponent or Responsible Officer of Sponsor Executed on BY Date Signature of Control4ing Officeholder, Cantlitlate, State Measure Proponent ExecutedBy Signature of Controlling Officeholder, Canditlate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement - C Paae — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFF ECEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (ENCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) CVpeK4*10 C1+ C(utnc� CITY 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. LO.NUMBER NAME OF TREASURER ❑ YES ❑ NO Comm ITTEEADDRESS STREETADDRESS (NO CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRE55 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COVER PAGE - PART 2 Page 2— 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 CandidatelOfFiceholder Committee Listnames of officeholder(s) at 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 ifnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summar, (Page SEE INSTRUCTIONS ON NAME DF FILER f) a Contributions Received 1. Monetary Contributions— .... — ... ..................................... Schedule A, Line 2. Loans Received................................................................ Schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 4. Nonmonetary Contributions ............................................ Schedule C, Line3 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 7. Loans Made... ...... ....... ......................... ........... ........ _ Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 1C. Nonmonetary Adjustment........................................................ schedule C, Line 3 11. -TOTAL EXPENDITURES MADE ........................................ Add Lines s + 9 + 10 Amounts may be rounded to whole dollars. Column A 70TAL TH IS PERI OC (FROM ATTACHED SCHEDULES) SUMMARY PAGE Statement covers period from through il— 31 `177 Page '?> of Column B CALENDARYEAR TOTALTO DATE O $ 2l(o�ci.�j O $ Q $ II US5.54 $ 2Z 0 O $ Zt (9K'511 O $ d $ .59-fg-2-2— $ 11t.Q7? -15, Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ �� `'f{ L�' `� L �" 13. Cash Receipts........................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule r, 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 ................................ schedules, Pane $ � - -- Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column 3 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 7t1 to Date 20. Contributions Received $ $ 21. M pdeenditures $ lJ $ 2 � If rIEL Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subjectto 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 464 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedlule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. SCHEDULE E Statement covers from r— N-1-7 t2_-3l_r7 through Page 11 of NAME OF FILER i.v. rv�rvic�r5 P � vWaw CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. � 5Ytz� `tri CMP campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" QFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs RL candidate fiilinglballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS stafflspouse travel, lodging, and meals IND independent expenditure supportinglopposing 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 comm=E.AL$0 ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID [05-4t No -ore, {Pr . C��er� �3 (PF 94W`4 �F�J � oo �t�h Purl o to,5j 5 Say+\ _P czV d ru �c c„ rk&V�-3 e -A 6KV N Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ GG 2. Unitemized payments made this period of under $100.......................................................................................................................................... $5 J 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ y 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL. $ FPPC Form 460 (Jan/203.6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E CODE OR DESCRIPTION OF PAYMENT SCHEDULE E (CONT.) C 4 YL� WO Amounts may be rounded to whole dollars. Statement covers period C,� e- (Continuation Sheet) 2-4 Lt, 2- -7--at— 17 Payments Made from q Z-31-17 SEE INSTRUCTIONS ON REVERSE through Page of NAME 00 FILER LVQVVim I.D. NU 1��r2� CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalialmisc. 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 candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VDT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) �4 NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.O. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID C 4 YL� WO �Ul o� of i5 DY, Cu-iVLa7C °lS f�� C,� e- 2-4 Lt, 2- Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (lan/203.6) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov N