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Dailey 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. from Statement covers period lif 2-0 1 030 I-•(01 through -e, LI Officeholder, Candidate Controlled Committee 0 O State Candidate Election Committee O Recall (Also Complete Pert 5) F.41 General Purpose Committee O Sponsored 4 Small Contributor Committee O Political Party/Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Pert 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Pan 7) .D. NUMBER 3?&H10 b6:11/1 .0/9/L4y foR 6i_4 016/94 ScHcoL .2o( 6, STREET STATE ZIP CODE AREA CODEPHONE 4 LAS E-64 c (7©) c)3-7_26) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY OPTIONAL: FAX! E-MAILADDRESS STATE ZIP CODE AREA CODE/PHONE Date Stamp Date of election if applicable: (Month, Day, Year) 2. Type of Statement: O Preelection Statement ROI Semi-annual Statement O Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) COVER PAGE Page of juLF4.- OilicApiti O Quarterly Statement O Special Odd-Year Report Treasurer(s) NAME OF TREASURER jrn 1261 ' mc //7)9fr/Dit) MAILING CITY STATE ZIP CODE AREA CODEJPHONE L E-,JA CA 5--6) (70;23-220 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX! E-MAIL ADDRESS STATE ZIP CODE AREA CODFJPHONE 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 perjtne under the laws of the State of California that the foregoing is Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Qt L,9 ,Ofi 11,6V OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) _sc toot 604,,U 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? El YES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? rj YES LI NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION COVER PAGE - PART 2 El SUPPORT El 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 NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME - OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD Attach continuation sheets if necessary El SUPPORT EJ OPPOSE • SUPPORT • OPPOSE EJ SUPPORT Ell OPPOSE 0 SUPPORT OPPOSE 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 FILER A g O4lkEy 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 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 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. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) &Do n 0 75 17. LOAN GUARANTEES RECEIVED Schedule B, Pert 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ Statement covers period 1 I /2D16 01)-DI from through SUMMARY PAGE /ALIFOR I " I.V4" !4■".4k1.$4i Page of I.D. NUMBER t-fool- 66,4 PD 2- 0 I (j /3064//0 Column B Calendar Year Summary for Candidates CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections (000 oo Ici "77 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). 1/1 through 6/30 7/1 to Date 20. Contributions Received 00 $ 0 21. Expenditures Made 71 $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) / Total to Date *Amounts in this section may be different from amounts = reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER DATE RECEIVED Amounts may be rounded to whole dollars. 14 R0 eL 1 Fog_. /4 LA vm scHDat_ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * 4140N iqL)Li /11F0/))cA M IND 0 COM Ell OTH LI PTY scc El IND 0 COM OTH • PTY SCC LI IND El com 110TH PTY scc 111 IND 0 COM • OTH PTY scc LI IND COM • OTH PTY SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Statement covers period from through l il-2)0(0 (a /3 0 )261 RAO "--olb AMOUNT RECEIVED THIS PERIOD SCHEDULE A I.D. NUMBER CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 6760 (00 SUBTOTAL $ (.0 Schedule A Summary 1. 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 $ $ bOO 0 $ &OD PER ELECTION TO DATE (IF REQUIRED) *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 E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Amounts may be rounded to whole dollars. Statement covers period ( 0 1 SD 1.2-01 L, from through SCHEDULE E (CONT.) CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)* civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)* legal defense campaign literature and mailings NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) MBR MTG OFC PET PHO POL POS PRO PRT 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 STifrr-'- LC oc..11.1( 41 t_:_r\rro c,0 mr:1-1(71)) r0-070ER r-L\ ,(2_ 19- 01467 CODE * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Page I.D. NUMBER /3S67W 0 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) AMOUNT PAID OR DESCRIPTION OF PAYMENT lin()u(+1- Tho iwt tA)E6 Hosr SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov