Harris 460Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
COVER PAGE
CALIFORNIA 460
FORM
Statement covers period
7/1/10
through CV 2 4 /1 t42
Date of election if applicabel
(Month, Day, Yea
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
El Officeholder, Candidate Controlled Committee
O State Candidate Election Committee
O Recall
(Also Complete Part 5)
El General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
El Primarily Formed Ballot Measure
Committee
O Controlled
O Sponsored
(A(so Complete Pad 6)
WI Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
10/8/16
2. Type of Statement:
RI Preelection Statement
El Semi-annual Statement
El Termination Statement
(Also file a Form 410 Termination)
0 Amendment (Explain below)
For Official Use Only
El Quarterly Statement
El Special Odd-Year Report
3. Committee Information
I.D, NUMBER
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Gray Harris for Alameda School Board 2016
‘3?-,31c2F)lo
STREET ADDRESS (NO P.O. BOX)
CITY
Alameda
STATE ZIP CODE
CA 94501
AREA CODE/PHONE
5105526521
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
N/A
CITY STATE
ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Gray Harris
MAILING ADDRESS
CITY
Alameda
STATE ZIP CODE AREA CODE/PHONE
CA 94501 5105526521
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 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
Instructions for
Recipient Committee
Campaign Statement — Cover Page
CALIFORNIA 460
FORM
Period Covered by a Statement:
The 'period covered" by a campaign statement
begins the day after the closing date of the Iast
campaign statement filed. For example, if the
closing date of the Iast statement was September
30, the beginning date of the next statement will be
October 1.
Ifthis is the committee's first campaign statement,
begin with January 1 of the current calendar year.
The closin date of the statement depends on the
type of statement you are filing.
Date of Election:
If you are fihing this statement as a preelection
statement in connection with an election, enter the
date ofthe election.
Type of Recipient Committee:
Check one box to indicate the type of committee
fihing the statement. General descriptions are
provided on the cover sheet to this form, or contact
your fihing officer or the FPPC for assistance.
Following are some additional guidelines:
Controlled Committee
•
A controlled committee is one that is controhled
by a nendidate, officeholder or, in the case
of a state ballot measure nommittee, by the
proponent of the measure. A committee is
"conbnUod''if the candidate, offiuehn|de[
or proponent, his or her agent, or any other
committee he or she controls, has a significant
influence on the actions or decisions of the
committee.
Sponsored Committees
• A sponsored committee is one that has a
sponsor—a business entity, organization,
union, or other entity—that meets certain
criteria. Sponsored bahiot measure committees
and general purpose committees must include
the name of the sponsor in the name of the
committee.
SmaII Contributor Committees
• This term is significant only if the committee
makes contributions to candidates running for
elective state offlce.
Type of Statement:
Check the appropriate box(es) to indicate the type
of statement you are filing (or amending).
Amendments: If you are fihing an amendment to a
previously filed statement, give a brief explanation
of the amendment and hist the schedules being
amended. Include an amended summary page, if
applicable. Be sure to enter the period covered of
the statement you are amending.
Termination: A committee must continue fihing
campaign statements each year until it is ehigible to
terminate and files a Form 410 Termination.
Most officeholders must continue fihing campaign
statements until they have terminated all controlled
committees and have left office.
Committee I.D. Number:
If the committee has not yet received an
identification number from the Secretary of State,
enter "Not Yet Received." File Form 410 to obtain
an I.D. Number.
Verification:
The statement must be signed by the committee
treasurer or the assistant treasurer named on the
committee's Statement of Organization (Form
410). An officeholder, candidate, or state measure
proponent who controls the committee must also
sign the statement. If two or three officeholders,
candidates, or proponents controh the committee,
each must sign the statement. If more tha three
control the committee, one may sign on behalf of
the others.
Under certain circumstances, the responsible
officer of a sponsoring organization must sign the
statement.
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for information about:
• When, where, and what type of statement the
committee is required to fihe.
~
Closing date of campaign statements.
• Sponsored committee criteria.
• Termination criteria.
• Recordkeeping requirements and prohibitions.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Recipient Committee
Campaign Statement
Cover Page — Part 2
COVER PAGE - PART 2
CALIFORNIA ARA
FORM --IFUFw
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.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
0 YES NO
COMMITTEE ADDRESS
STREET ADDRESS (NO A.O. BOX)
CITY
STATE ZIP CODE
AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
0 YES El NO
COMMITTEE ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE
AREA CODE/PHONE
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
0 SUPPORT
0 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
Gray Harris
OFFICE SOUGHT OR HELD
Alameda School Board
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
12] SUPPORT
O OPPOSE
O SUPPORT
El OPPOSE
O SUPPORT
O OPPOSE
O SUPPORT
El OPPOSE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Instructions for
Recipient Committee
Campaign Statement — Cover Page
____
CALIFORNIA
FORM
Officeholder or Candidate Controlled
Committee:
Candidates mus have a separate bank account
and committee to run for different elective offices.
A candidate who is required to file campaign
statements in connection with more than one
elective office but is only receiving contributions
and making expenditures for one of the offices,
may include both offices on one Form 460. In Part
5 of the cover page, enter the candidate's name
and under "Office Sought or HeId," identify each
office, and state whether the candidate is seeking
or holding the office. The Form 460 must be filed
with the appropriate filing officer(s) for each office.
For example, a city councilmember is raising funds
to run for the county board of supervisors. She
has no committee and is not raising or spending
funds in connection with the city office, and has
formed a controtled committee for the county office.
To comply with the requirements to file campaign
statements for both her city office and her county
candidacy, she may complete one Form 460 each
campaign reporting pariod, which she will file with
the city clerk and the county elections department.
In Part 5 of the Form 460 Cover Page, under
"Office Sought or HeId," she will state that she is
holding the office of city councilmember (including
the name of the city) and that she is seeking a seat
on the board of supervisors (including the name of
the county).
Ballot Measure Committee:
Part 6 of the Form 460 Cover Page must be
completed by committees that are primarily
formed to support or oppose the qualification or
passage of a single bailot measure or two or more
measures being voted on in the same city, county,
multicounty, or state etection. A']onena| purpose"
baliot measure committee (one that supports
or opposes a variety of state and/or Iocal bailot
measures) is not required to complete Part 6.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
Statement covers period
7/1 I
through 41 / Vga
from
NAME OF FILER
Gray Harris
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
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Column B
CALENDAR YEAR
TOTAL TO DATE
CALIFORNIA 460
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
20. Contributions
Received
21. Expenditures
Made
1/1 through 6/30
7/1 to Date
13,254 $:2.4),(283
$ 3SO
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
0
35-0
0
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.
$
(at)-7 4
17. LOAN GUARANTEES RECEIVED. Schedule B, Part 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
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
(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
Instructions for
Summary Page
Campaign Disclosure Statement
CALIFORNIA
460
FORM
The Summary Page provides an overview of the
committee's flnancial activities and is completed for
each filing.
Column A reflects activities during the current
reporting period as reported on Schedules A
through H. It is not necessary to attach a blank
schedule if there has been no reportable activity
during the period, but it is necessary to enter a
zero or the word "none" on the appropriate line in
Column A of the Summary Page.
Column B figures should reflec the cumulative
total since January 1 of the current calendar
year.* Add the totais from Column B of the
committee's Iast campaign statement (if any) to the
corresponding amounts in Column A. If this is the
first report being filed for a calendar year, only carry
forward the amounts reported on Lines 2, 7, and
9 of Column B (if any) from the committee's Iast
statement. (Note: The amounts reported on Lines
2, 7, and 9 of Column B should be the same as
the total outstanding amounts disclosed in column
(d) of Schedules B, F, and H, respectively, of the
current report.)
When Ioans (Schedules B and H) and accrued
expenses (Schedule F) are paid, the figures to
be carried from the schedules to Lines 2, 7, and
9 of Column A may be negative numbers. In this
case, ba sure bn show them eo negative figunneon
the Summary Page (e.g., with a minus sign (-) or
in poventheaeo), and subtract them when totaling
Columns A and B.
*There are exceptions to the calendar year
"cumulation period" for candidate elections and
bailot measure elections held in January and early
February, and for ballot measure qualification
activities. Consult the FPPC Campaign Disclosure
Manual for your type of committee for additional
information.
Current Cash Statement:
Lines 12-16 of the Summary Page should
accurately reflect your current cash position.
Beginning and ending cash balances should
include the total amount of funds in your campaign
checking and savings accounts, plus any
investments that can be readily converted to cash,
such as certificates of deposit, money market
accounts, stocks and bonds, etc. (Officeholders
and candidates are subject to bank account
restrictions, and all committees should read the
FPPC Campaign Disclosure Manual regarding
appropriate uses of campaign funds.)
Line 12 (Beginning Cash Balance) must be the
same as the ending cash balance reported on Line
16 of your previous statement's Summary Page. If
this is your first campaign statement, enter zero on
Line 12.
Line 16 (Ending Cash Balance) is the tota of Lines
12, 13, and 14, minus Line 15.
If you are filing a termination statement, Line 16
must be zero.
Cash Equivalents:
"Cash equivalents" include investments that cannot
be readily converted to cash, as well as the balance
due on all outstanding Ioans the committee has
made to others (from Line 7 of Column B of the
Summary Page). Investments that can be readily
converted to cash, such as certificates of de it or
money market funds, should be included in the cash
on hand figures on Lines 12 and 16 ofthe Summary
Page.
Summary for Primary and General
Elections (Lines 20 and 21):
This section is only for committee that are:
• Controlled by a candidate who is being voted on
in both the state primary and general elections
(does not apply to controlled baliot measure
committees); or
• Primarily formed to support or oppose
candidates being voted on in both the state
primary and general eections.
Complete this summary on the preelection and
semi-annual statements for the general election,
covering periods during the Iast six months of the
year (July 1 — December 31).
Expenditure Ceiling Summary for State
Candidates (Line 22):
Candidates for elective state office who have
accepted the voluntary expenditure ceiling for a
particular election must disclose the total amount of
expenditures made through the end of the reporting
period that are subject to the expenditure ceiling
for the election. Report the date of the election
and total amount expended for that election.
Report totais for the primary and general elections
separately. This information is no Ionger required if
the expenditure ceiling has been Iifted. (See FPPC
Campaign Disclosure Manual 1.)
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
SCHEDULE A
Statement covers period
from 7 /I (L1/40
through 9/24/i
CALIFOIRNIA 460
FORM
Page
NAME OF FILER
Gray Harris
DATE
RECEIVED
9/12/16
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
3F3(03(6,
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Leslie Cameron
4cuumsLcLo- Gs.
IND
LI COM
OTH
PTY
0 SCC
Bay Ship and Yacht
500
500
9/12/16
Robert Ellinthrope
'
'0 efi 40t
El IND
0 COM
OTH
PTY
SCC
Bay Crossings
500
500
Becky Flanigan
9/6/16
IND
El COM
OTH
PTY
El SCC
50
50
El IND
El com
El OTH
LI PTY
SCC
El IND
0 COM
OTH
I=1 PTY
SCC
SUBTOTAL $ 10 SO
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
7 41-
T)-7
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....... ........ ....... TOTAL $ CO e..51
*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
Instructions for
Schedule A
Monetary Contributions Received
CALIFORNIA
FORM
Report monetary contribution loans)
received during the reporting period on Schedule A.
AIso report on Schedule A if a contributor forgives
a loan for your committee or a third party pays a
loan for your committee. Loans received during
the period are reported on Schedule B. Certain
transfers between a state candidate's controlled
committees are also disclosed on ScheduleA.
(See FPPC Campaign Disclosure Manual 1.)
If a total of$100nrmore is received from a single
contributor during a calendar year, report the
name, street address, city, state and zip code of
the contributor, the amount contributed this perind,
and the cumulative amount received from the
contributor since January 1 of the current calendar
year.* Include monetary and nonmonetary
contributions and Ioans when reporting the
cumulative amount.
Contributions totaling Iess than $100 received from
a single contributor during a calendar year are
reported as a Iump sum on Line 2 ofthe Schedule
A Summary.
*There are exceptions to the caendar year
"cumulation period" for candidate elections and
baliot measure elections held in January and early
February, and for bailot measure qualification
activities. (See the FPPC Campaign Disclosure
Manuals for candidates and bailot measure
committees.)
Date Received:
A monetary contribution has been received when
the candidate or committee, or an agent of the
candidate or committee, receives or obtains control
of the check or other negotiable instrument. There
are special rules for reporting the date contributions
are received by a committee that coltects
contributions through employee payroll deductions
or membershi dues d contributions received
electronically (e.g., credit card, text).
Contributor Codes:
For each itemized contributor, check the applicable
contributor code:
IND — contributions from any individual's personal
funds.
COM — contribution from other committees that
receive contributions. These committees will have
an identification number assigned by the Secretary
of State. Examples: political action committees,
other candidates' committees. (State committe o
should use PTY or SCC when appropriate.)
OTH — business entities and other contributors.
PTY — contributions from politica parties (including
state and county central committees).
SCC — contributions from sma contributor
committees ble only to state candidates and
committees).
Contributions from Individuals:
When itemizing a contribution from an individual,
also disclose the contributor's occupation and the
name of his or her employer. If the contributor
is self-employed, provide the name of his or her
business. If the contributor is not employed, enter
"none."
It is not necessary to ente occupation and
employer information for other types of contributors
(such as business entities).
Missing Contributor Jnformation: A contribution
of$1O0nrmore must be returned to the contributor
within 60 days if the recipient does not obtain the
contributor's address, occupation and employer.
Contributions from Committees:
When itemizing a contribution from another
recipient committee, disclose the identification
number assigned to that committee by the
Secretary of State in addition to its name a d
address. If no ID number has been assigned,
provide the name and address of that committee's
treasurer.
Intermediaries:
If you receive a contribution through an
intermediary (i.e., you have received a co buUon
check from a person other than the true source of
the funds), disclose all of the required information
for both the intermediary and the actual contributor.
Per Election to Date:
Candidates subject to state contributio Umha(m
if required by tocal ordinance) must disclose the
cumulative amount received from each contributor
during the limitation cycle in addition to the
calendar year cumulative amount. (Candidates
for elective state office should refer to FPPC
Campaign Disclosure Manual 1.)
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about aggregating monetary and nonmonetary
contributions, recordkeeping, prohibitions on cash
contributions, returning contributions, and more.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
SCHEDULE A (CONT.)
Statement covers period
from -1/i/i L
through /2-V/ CO
NAME OF FILER
Gray Harris
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMI 1 I tE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CALIFORNIA 460
FORM
Page
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Jennifer Taggart
9/24/16
IND
ID COM
OTH
PTY
▪ SCC
99
99
9/19/16
Sara Alterman
Alameda CA 94501
El IND
0 COM
0 0TH
PTY
▪ SCC
Pandora
100
100
Casey Sparks
9/18/16
El IND
0 COM
OTH
El Pry
scc
75
75
9/18/16
Joe Ernst
W IND
COM
• OTH
pry
scc
Business
200
200
9/17/16
Mike DelBono
vnowt CA 01
▪ IND
0 COM
O OTH
PTY
0 SCC
200
SUBTOTAL $
*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 B — Part 1
Loans Received
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SCHEDULE B - PART 1
CALIFORNIA
FORM
460
Page
of
NAME OF FILER
Gray Harris
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE,ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER
NAME OF BUSINESS)
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
RECEIVED THIS
PERIOD
(c)
AMOUNT PAID
OR FORGIVEN
THIS PERIOD *
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
(0)
INTEREST
PAID THIS
PERIOD
I.D. NUMBER
(t)
ORIGINAL
AMOUNT OF
LOAN
(e)
CUMULATIVE
CONTRIBUTIONS
TO DATE
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
$
❑ FORGIVEN
DATE DUE
RATE
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION**
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
$
❑ FORGIVEN
DATE DUE
RATE
DATE INCURRED
CALENDAR YEAR
PER ELECTION **
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
❑ PAID
❑ FORGIVEN
DATE DUE
%
RATE
DATE INCURRED
CALENDAR YEAR
$
PER ELECTION **
SUBTOTALS $
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)
(Enter (e) on
Schedule E, Line 3)
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 A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers period
from
through
SCHEDULE A (CONT.)
CALIFORNIA 460
FORM
Page of
NAME OF FILER
Gray Harris
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NU
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
MBER
PER ELECTION
TO DATE
(IF REQUIRED)
9/18/16
Heather Stark
Danville CA 94526
El IND
0 COM
OTH
▪ PTY
SCC
Nurse
100
100
9/18/16
Jeannette Harris
SF CA 94129
R1 IND
0 COM
0 OTH
PTY
SCC
Teacher
500
525
0 IND
0 COM
0 OTH
PTY
SCC
0 IND
0 COM
▪ OTH
I=1 PTY
SCC
IND
O COM
0 OTH
0 PTY
0 SCC
SUBTOTAL $
r-
*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
Instructions for
Schedule A
Monetary Contributions Received
CALIFORNIA
460
FORM
Report loans)
received during the reporting period on Schedule A.
AIso report on Schedule A if a contributor forgives
a loan for your committee or a third party pays a
loan for your committee. Loans received during
the period are reported on Schedule B. Certain
transfers between a state candidate's controlled
committees are also disclosed on Schedule A.
(See FPPC Campaign Disclosure Manual 1.)
If a total of $100 or more is received from a single
contributor during a calendar year, report the
name, street address, city, state and zip code of
the contributor, the amount contributed this period,
and the cumulative amount received from the
contributor since January 1 of the current calendar
year.* Include monetary and nunmonotory
contributions and Ioans when reporting the
cumulative amount.
Contributions totaling Iess than $100 received from
a single contributor during a calendar year are
reported as a Iump sum on Line 2 of the Schedule
A Summary.
*There are exceptions to the calendar year
cumulation period" for candidate elections and
baliot measure etections held in January and earty
February, and for baliot measure qualification
activities. (See the FPPC Campaign Disclosure
Manuals for candidates and bailot measure
committees.)
Date Received:
A monetary contribution has been received when
the candidate or committee, or an agent of the
candidate or committee, receives or obtains control
of the check or other negotiable instrument. There
are special rules for reporting the date contributions
are received by a committee that collects
contributions through employee payrofl deductions
or membership dues and contributions received
electronically (e.g., credit card, text).
Contributor Codes:
For each itemized contributor, check the applicable
contributor code:
IND — contributions from any individual's personal
funds.
COM — contributions from other committees that
receive contributions. These committees will have
an identification number assigned by the Secretary
of State. Examples: political action committees,
other candidates' committees. (State committees
shoutd use PTY or SCC when appropriate.)
OTH — business entities and other contributors.
PTY — contribution from political partie (including
state and county central committees).
SCC — contributions from small contributor
committees (applicable only to state candidates and
committees).
Contributions from Individuals:
When itemizing a contribution from an individual,
also disclose the contributor's occupation and the
name of his or her emptoyer. If the contributor
is self-employed, provide the name of his or her
business. If the contributor is not employed, enter
"none."
It is not necessary to enter occupation and
employer information for other types of contributors
(such as business entities).
Missing Contributor Information: A contribution
of $100 or more must be returned to the contributor
within 60 days if the rec ient does not obtain the
contributor's address, occupation and employer.
Contributions from Committees:
When itemizing a contribution from another
recipient committee, disclose the identification
number assigned to that committee by th
Secretary of State in addition to its name and
address. If no ID number has been assigned,
provide the name and address of that committee's
treasurer.
Intermediaries:
If you receive a contribution through an
intermediary (i.e., you have received a contribution
check from a person other than the true source of
the funds), disclose all of the required information
for both the intermediary and the actual contributor.
Per Election to Date:
Candidates subject to state contribution limits (or
if required by Iocal ordinance) must disclose the
cumulative amount received from each contributor
during the limitation cycle in addition to the
calendar year cumulative amount. (Candidates
for elective state office should refer to FPPC
Campaign Disclosure Manual 1.)
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about aggregating monetary and nonmonetary
contributions, recordkeeping, prohibitions on cash
contributions, returning contributions, and more.
FPPC Form 460
FPPC Advice: advice@f pc.ca.gov (866/275-3772)
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Gray Harris
DATE
RECEIVED
9/18/16
Amounts may be rounded
to whole dollars.
atement covers period
74 //(a
q7.4 //(D
CALIFORNIA
FORM
SCHEDULE A
Page —7 of
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
I3 &3
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Andrew Slivka
Alameda CA 94501
® IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Carpenter
100
100
9/18/16
April Frates
Alameda CA 94501
1IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Retired
100
100
9/18/16
Marie Gilmore
Livermore CA 94550
la IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Attorney
100
100
9/18/16
Carmen Rojas
Alameda CA 94501
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
CEO
200
200
Wendy Bloom
9/18/16
O IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
50
50
SUBTOTAL $ 5S0
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) ............................. ............................... $
2. Amount received this period — unitemized monetary contributes° of less than $100 $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Su lefy 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
Instructions for
Summary Page
Campaign Disclosure Statement
CALIFORNIA
FORM
460
The Summary Page provides an overview of the
committee's financial activities and is completed for
each filing.
Column A reflects activities during the current
reporting period as reported on Schedules A
through H. It is not necessary to attach a blank
schedule if there has been no reportable activity
during the period, but it is necessary to enterer
zero or the word "none" on the appropriate line in
Column A of the Summary Page.
Column B figures should reflect the cumulative
total since January 1 of the current calendar
year.* Add the totals from Column B of the
committee's last campaign statement (if any) to the
corresponding amounts in Column A. If this is the
first report being filed for a calendar year, only carry
forward the amounts reported on Lines 2, 7, and
9 of Column B (if any) from the committee's last
statement. (Note: The amounts reported on Lines
2, 7, and 9 of Column B should be the same as
the total outstanding amounts disclosed in column
(d) of Schedules B, F, and H, respectively, of the
current report.)
When loans (Schedules B and H) and accrued
expenses (Schedule F) are paid, the figures to
be carried from the schedules to Lines 2, 7, and
9 of Column A may be negative numbers. In this
case, be sure to show them as negative figures on
the Summary Page (e.g., with a minus sign ( -) or
in parentheses), and subtract them when totaling
Columns A and B.
*There are exceptions to the calendar year
"cumulation period" for candidate elections and
ballot measure elections held in January and early
February, and for ballot measure qualification
activities. Consult the FPPC Campaign Disclosure
Manual for your type of committee for additional
information.
Current Cash Statement:
Lines 12 -16 of the Summary Page should
accurately reflect your current cash position.
Beginning and ending cash balances should
include the total amount of funds in your campaign
checking and savings accounts, plus any
investments that can be readily converted to cash,
such as certificates of deposit, money market
accounts, stocks and bonds, etc. (Officeholders
and candidates are subject to bank account
restrictions, and all committees should read the
FPPC Campaign Disclosure Manual regarding
appropriate uses of campaign funds.)
Line 12 (Beginning Cash Balance) must be the
same as the ending cash balance reported on Line
16 of your previous statement's Summary Page. If
this is your first campaign statement, enter zero on
Line 12.
Line 16 (Ending Cash Balance) is the total of Lines
12, 13, and 14, minus Line 15.
If you are filing a termination state et, Line 16
must be zero.
Cash Equivalents:
"Cash equivalents" include investments that cannot
be readily converted to cash, as well as the balance
due on all outstanding loans the committee has
made to others (from Line 7 of Column B of the
Summary Page). Investments that can be readily
converted to cash, such as certificates of deposit or
money market funds, should be included in the cash
on hand figures on Lines 12 and 16 of the Summary
Page.
Summary for Primary and General
Elections (Lines 20 and 21):
This section is only for committees that are:
• Controlled by a candidate who is being voted on
in both the state primary and general elections
(does not apply to controlled ballot measure
committees); or
• Primarily formed to support or oppose
candidates being voted on in both the state
primary and general elections.
Complete this summary on the preelection and
semi- annual statements for the general election,
covering periods during the last six months of the
year (July 1 — December 31).
Expenditure Ceiling Summary for State
Candidates (Line 22):
Candidates for elective state office who have
accepted the voluntary expenditure ceiling for a
particular election must disclose the total amount of
expenditures made through the end of the reporting
period that are subject to the expenditure ceiling
for the election. Report the date of the election
and total amount expended for that election.
Report totals for the primary and general elections
separately. This information is no longer required if
the expenditure ceiling has been lifted. (See FPPC
Campaign Disclosure Manual 1.)
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
Amounts may be rounded
to whole dollars.
SCHEDULE A
Statement covers period
7/1/16
from
9/24/16
through Page
CALIFORI■11A 460
FORM
NAME OF FILER
Gray Harris
DATE
RECEIVED
9/16/16
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF•EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
1383636
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
Kathleen Beebe
SF, CA, 94114
pi IND
O COM
OTH
PTY
SCC
Organizer
200
200
9/1/16
Firefighters for Better Government
Camarillo, CA 93021
0 IND
COM
1=1 OTH
PTY
SCC
1,500
1,500
9/18/16
Pat Livingston
Alameda, CA 94502
12 IND
LJ COM
OTH
PTY
▪ SCC
Social Worker
100
100
9/18/16
Abel Guillen
Oakland, CA 94610
RI IND
▪ COM
OTH
PTY
SCC
Oakland City Council
Member
200
200
9/18/16
David Connolly
Alameda, CA 94501
g IND
▪ COM
El OTH
0 PTY
▪ SCC
Merchant Seaman
100
100
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals )
2. Amount received this period — unitemized monetary con
3. Total monetary contributions received this period
(Add Lines 1 and 2. Enter here and on the
tions of less than $100
ary 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
Instructions for
Summary Page
Campaign Disclosure Statement
CALIFORNIA
FORM
The Summa Page provides an overview of the
committee's flnancial activities and 5 completed for
each filing.
Column A reflects activities during the current
reporting period as reported on Schedules A
through H. It is not necessary to attach a blank
schedule if there has been no reportabte activity
during the period, but it is necessary to enter a
zero or the word none" on the appropriate line in
Column A of the Summary Page.
Column B figures should reflect the cumulative
total since January 1 of the current calendar
year.* Add the totais from Column B of the
committee's Iast campaign statement (if any) to the
corresponding amounts in Colunin A. If this is the
first report being filed for a calendar year, only carry
forward the amounts reported on Lines 2, 7, and
9 of Column B (if any) from the committee's Iast
statement. (Note: The amounts reported on Lines
2, 7, and 9 of Column B should be the same as
the total outstanding amounts disclosed in column
(d) of Schedules B, F, and H, respectively, of the
current report.)
When Ioans (Schedules B and H) and accrued
expenses (Schedule F) are paid, the figures to
be carried from the schedules to Lines 2, 7, and
9 of Column A may be negative numbers. In this
case, be sure to show them as negative figures on
the Summary Page (e.g., with a minus sign (-) or
in parentheses), and subtract them when totaling
Columns A and B.
*There are exceptions to the calendar year
cumulation period" for candidate elections and
baliot measure elections held in January and eary
February, and for baliot measure qualification
activities. Consult the FPPC Campaign Disclosure
Manual for your type of committee for additional
information.
Current Cash Statement:
Lines 12-16 of the Summary Page should
accurately reflect your current cash position.
Beginning and ending cash balances should
include the total amount of funds in your campaign
checking and savings accounts, plus any
investments that can be readity converted to cash,
such as certificates of deposit, money market
accounts, stocks and bonds, etc. (Officeholders
and candidates are subject to bank account
restrictions, and all committees should read the
FPPC Campaign Disclosure Manual regarding
appropriate uses of campaign funds.)
Line 12 (Beginning Cash Balance) must be the
same as the ending cash balance reported on Line
16 of your previous statement's Summary Page. If
this is your first campaign statement, enter zero on
Line 12.
Line 16 (En ing Cash Balance) is the total of Lines
12, 13, and 14, minus Line 15.
Ifyou are filing a termination statement, Line 16
must be zero.
Cash Equivalents:
Cash equivalents" include investments that cannot
be readily converted to cash, as well as the balarice
due on all outstanding Ioans the committee has
made to others (from Line 7 of Column B of the
Summary Page). Investments that can be readily
converted to cash, such as certificates of deposit or
money market funds, should be included in the cash
on hand figures on Lines 12 and 16 of the Summary
Page.
Summary for Primary and General
Elections (Lines 20 and 21):
This section is only for committees that are:
• Controlled by a candidate who is being voted on
in both the state primary and general elections
(does not apply to controlled bailot measure
committees); or
• Primarily formed to support or oppose
candidates being voted on in both the state
primary and general elections.
Complete this summary on the preelection and
semi-annual statements for the general election,
covering periods during the Iast six months of the
year (July 1 — December 31).
Expenditure Ceiling Summary for State
Candidates (Line 22):
Candidates for elective state offlce who have
accepted the voluntary expenditure ceiling for a
particular election must disclose the total amount of
expenditures made through the end of the reporting
period that are subject to the expenditure ceiling
for the election. Report the date of the election
and total amount expended for that election.
Report totais for the primary and general elections
separately. This information is no Ionger required if
the expenditure ceiling has been Iifted. (See FPPC
Campaign Disclosure Manual 1.)
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule A (Continuation Sheet)
Monetary Contributions Received
Amounts may be rounded SCHEDULE A (CONT.)
to whole dollars.
Statement covers period
from 7/1/16
CALFORNIA 460
FORM
through 9 /24/16 Page
NAME OF FILER
Gray Harris
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
I.D. NUMBER
1383636
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
9/18/16
Kelly Floyd
Alameda, CA 94501
® IND
❑ COM
El OTH
❑ PTY
❑ SCC
Sales
100
100
9/7/16
UFCW Local 5
FPPC 1294035
San Jose 95113
❑ IND
la COM
❑ OTH
❑ PTY
❑ SCC
500
500
9/18/16
Mary Vella
Alameda CA 94501
O IND
❑COM
❑ OTH
❑ PTY
❑ SCC
Attorney
100
100
9/18/16
Jim Oddie
Alameda, CA 94501
PI IND
❑ COM
❑ OTH
❑ PTY
❑SCC
Alameda City Council
Member
100
100
9/18/16
Ivana Krajcinovic
Alameda CA 94501
IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
Sales
100
100
SUBTOTAL$ 900
*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
Instructions for
Schedule A
Monetary Contributions Received
CALIFORNIA
FORM
Report monetary contributions (except loans)
received durin the rting period on Schedule A.
Also report on Schedule A if a contributor forgives
a loan for your committee or a third party pays a
loan for your committee. Loans received during
the period are reported on Schedule B. Certain
transfers between a state candidate's controlled
comrnittees are also disclosed on Schedule A.
(See FPPC Campaign Disclosure Manual 1.)
If a total of $1 00 or more is received from a single
contributor during a calendar year, report the
name, street address, city, state and zip code of
the contributor, the amount contributed this period,
and the cumulative amount received from the
contributor since January 1 of the current calendar
year.* Include monetary and nonmonetary
contributions and Ioans when reporting the
cumulative amount.
Contributions totaling Iess than $100 received from
a single contributor during a calendar year are
reported as a Iump sum on Line 2 ofthe Schedule
ASummmry.
*There are exceptions to the calendar year
"cumulation period" for candidate elections and
bailot measure elections held in January and early
February, and for bailot measure qualification
activities. (See the FPFC Campaign Disclosure
Manuals for candidates and bailot measure
committees.)
Date Received:
A monetary contribution has been received when
the candidate or committee, or an agent of the
candidate or committee, receives or obtains controt
ofthe check or other negotiable instrument. There
are special rules for reporting the date contributions
are received by a committee that collects
contributions through employee payroll deductions
or emberuh dues and contributions received
electronically (e.g., credit card, text).
Contributor Codes:
For each itemized contributor, check the applicable
contributor code:
IND — contributions from any individual's personal
funds.
COM — contribution from othe committees that
receive contributions. These committees will have
an identification number assigned by the Secretary
of State. Examples: political action committees,
other candidates' committees. (State committees
should use PTY or SCC when appropriate.)
OTH — business entities and other contributors.
PTY — contributions from political parties (inclu ing
state and county central committees).
SCC — contributions from small contributor
committees (applicable only to state candidates and
committees).
Contributions from Individuals:
When itemizing a contribution from an individual,
also disclose the contributor's occupation and the
name of his or her employer. If the contributor
is ao|f-emp|oyed, provide the name of his or her
business. If the contributor is not employed, enter
"none."
It is not necessary to enter occupatio and
employer information for other types of contributors
(such as business entities).
Missing Contributor Information: A contribution
of $1 00 or more must be returned to the contributor
within 60 days if the recipient does not obtain the
contributor's address, occupation and employer.
Contributions from Committees:
When itemizing a contribution from another
recipient committee, disclose the identification
number assigned to that committee by the
Secretary of State in addition to its name and
address. If no ID number has been assigned,
provide the name and address of that committee's
treasurer.
Intermediaries:
If you receive a contribution through an
intermediary (i.e., you have received a contribution
check from a person other than the true source of
the funds), disclose all of the required information
for both the intermediary and the actual contributor.
Per Election to Date:
Candidates subjec to state contribution Iimits (or
if required by Iocal ordinance) must disclose the
cumulative amount received from each contributor
during the limitation cycle in addition to the
calendar year cumulative amount. (Candidates
for elective state office should refer to FPPC
Campaign Disclosure Manual 1.)
Additional Important Information:
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about aggregating monetary and nonmonetary
contributions, recordkeepin rohibitions on cash
contributions, returning contributions, and more.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule B — Part 2
Loan Guarantors
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
/G2
SCHEDULE B - PART 2
CALIFORNIA 460
FORM
through
Page
NAME OF FILER
Gray Harris
FULL NAME, STREET ADDRESS AND
ZIP CODE OF GUARANTOR
(IF COMMITTEE, ALSO ENTER. I.D. NUMBER)
CONTRIBUTOR
CODE
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER.
NAME OF BUSINESS)
LOAN
AMOUNT
GUARANTEED
THIS PERIOD
I.D. NUMBER
1333
CUMULATIVE
TO DATE
BALANCE
OUTSTANDING
TO DATE
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ scc
LENDER
DATE
CALENDAR YEAR
PER ELECTION
(IF REQUIRED).
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ scc
LENDER
DATE
CALENDAR YEAR
S
PER ELECTION
(IF REQUIRED)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
LENDER
DATE
CALENDAR YEAR.
PER ELECTION
(IF REQUIRED)
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
LENDER
DATE
CALENDAR YEAR
PER ELECTION
(IF REQUIRED)
SUBTOTAL $
Enter on
Summary Page,
Une 17 only.
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Instructions for
Schedule B — Part 1
Loans Received
CALIFORNIA
FORM
460�
All Ioans received or outstanding are reported on
Schedule B. Loans include monetary Ioans and
amounts drawn on lines of credit.
Report loan guarantors on Schedule B — Part 2. A
"guarantor" is a third party that co-signs, endorses,
or provides security for a loan, or establishes or
provides security for a line of credit. A guarantor is
also making a contribution.
When a state candidate guarantees a loan from a
commercial lending institution in connection with his
or her election, both the lending institution and the
candidate are required to be disclosed as the lender.
For each loan of $100 or more that was received
or was outstanding during the reporting period,
disclose the lender's name and address. Report
the original source of all loans received. E.g., fore
toan from a commercial lending institution for which
a candidate is personally liable, report the lending
institution as the lender.
Column (a) — Enter the outstanding loan balance
at the beginning of this period (Column (d) of Iast
report). If the loan was received this period, this
column will be blank.
Coumn(b)— Enhy the amount received from the
lender during this reporting period. If this loan was
received in a previous reporting period, leave blank.
Column (c) — Enter the amount of any reductio of
the loan during this reporting period. Check whether
the loan was paid or forgiven. When the lender
forgives a loan or a third party makes a payment
on a loan, also report the lender or third party on
Schedule A.
Column k8—Enter the outstanding balance of the
loan at the close of this reporting period. Enter the
due date, if any.
Qolumn(e)— EnterUmintemorate and the amo nt
of interest paid on the loan(s) during this reporting
period. Interest paid is reported separately from
payments made on the loan principal. Interest
payments are also transferred to the Schedule E
Summary.
Column (f) — Enter the original amount of the loan
and date received. If this is the first time you are
reporting the loan, this will be the same amount
reported in Column (b).
Enter the cumulative amount of
contributions (Ioans, monetary and nonmonetary
contributions) received from the lender during
the calendar year covered by this statement.
Candidates subject to state contribution Iimits (or
if required by Iocal ordinance) must disclose the
cumulative amount received from each contributor
during the limitation cycte in addition to the calendar
year cumulative amount. (Candidates for elective
state office should refer to FPPC Campaign
Disclosure Manual 1.)
Schedule B Summary:
The Schedule B Summary reflects the "net change"
in your loan activity. That is, loan payments made
during the period are subtracted from new Ioans
received. When the loan payments number is Iarger
than the amount of new Ioans received, Line 3
wiH be a negative figure. For example, if $200 is
paid during the period and only $100 is received
in new Ioans, report the net change on Line 3 as
"-$107or"(000)."Besure to carry this figure
to the Summary Page as a negative figure to be
subtracted from Summary Page totals.
Additional Important Information:
Refer to the Instructions for Schedule A for important
information about:
• Contributor codes
• Contributions from individuals
• Contributions from committees
• Intermediaries
A loan received from a commercial lending
institution in the normal course of business is
reportable on Schedule B but is not considered a
contribution. Contributor codes and cumulative
amounts (Column (g)) are required only for Ioans
that are contributions.
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about recordkeeping, prohibitions on cash
contributions, returning contributions, and more.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule C
Nonmonetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
SCHEDULE C
NAME OF FILER
Gray Harris
DATE
RECEIVED
9/15/16
ct /iv)
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF.EMPLOYED, ENTER
NAME OF BUSINESS)
Statement covers period
from 7/1 /1'
through / Z/ ( (i7
CALIFORNI
FORM
I.D. NUMBER
DESCRIPTION OF
GOODS OR SERVICES
AMOUNT/
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
cl713A
Alameda Firefighters Assn
IAFF Local 689 FPPC 890076
Alameda CA 94501
❑ IND
▪ COM
❑OTH
❑ PTY
❑ scc
❑ IND
g'COM
❑ OTH
❑ PTY
❑SCC
❑ IND
O'EOM
❑ OTH
El PTY
❑ SCC
▪ IND
❑ COM
❑ OTH
❑ PTY
▪ SCC
Tacos for
Fundraiser
590
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $ Vl 1
Schedule C Summary
1. Amount received this period — itemized nonmonetary contributions. q
(Include all Schedule C subtotals.) $ ! (o 1
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
Instructions for
Schedule B — Part 2
Loan Guarantors
CALIFORNIA 460
FORM
Guarantors of Ioans received or outstanding during
the reporting period are reported on Schedule
B — Part 2. A "guarantor" is a third party that co-
signs, endorses, or provides security for a loan, or
establishes or provides security for a line of credit.
A guarantor is also making a contribution.
For each guarantor of $100 or more, enter the
name and address of the guarantor and, if the
guarantor is an individual, his/her occupation and
employer or, if self employed, the name of his/her
business.
Enter the name of the lender or the entity at which
a line of credit was established and the date of the
loan or the date the line of credit was established.
Enter the amount guaranteed this period, if
applicable. For lines of credit, enter the full amount
established or secured by the guarantor during the
period. (Report amounts drawn on a line of credit
on Schedule B — Part 1.)
Enter the cumulative amount guaranteed during
the calendar year covered by the statement.
Candidates subject to state contribution Iimits (or
if required by Iocal ordinance) must disclose the
cumulative amount received from each contributor
during the limitation cycle in addition to the calendar
year cumulative amount. (Candidates for etective
state office should refer to FPPC Campaign
Disclosure Manual 1.)
Report the outstanding balance for which the
guarantor is Iiable at the close of this reporting
period.
Loan guarantees are not included in the Schedule B
Summary, but are carried forward in a Iump sum to
Line 17 of the Summary Page.
FPPC Form 460 (Jan/2016
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from
through 9 /214
SCHEDULE D
CALIFORNIA 460
FORM
Page
of 17
NAME OF FILER
Gray Harris
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
I.D. NUMBER
CUMULATIVE TO DATE
CALENDAR YEAR
" (JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
O Support 0 Oppose
0
0
Monetary
Contribution
Nonmonetary
Contribution
Independent
Expenditure
O Support El Oppose
O Monetary
Contribution
O Nonmonetary
Contribution
O Independent
Expenditure
O Support El Oppose
O Monetary
Contribution
O Nonmonetary
Contribution
O Independent
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
Instructions for
Schedule C
Nonmonetary Contributions Received
CALIFORNIA 460
FORM
Report the receipt of nonmonetary contributions on
Schedule C.
Nonmonetary contributions include:
~ Goods and services for which you have not paid
the fair market value, including items donated
for auctions or garage sales, such as artwork or
furniture.
• A discount tha is not available to the public
gonenaUy.
• Salary payments made by an employer for an
employee who spends 1 O% or more of his or her
compensated time in a calendar month working
for your committee.
Volunteer personal services and payments
voluntarily made by a person for his or her
own campaign-related travel expenses are not
reportable. The occupant of a home or office can
host a fundraiser without making a nonmonetary
contribution as long as the total cost of the
fundraiser le$5O0orless.
If a total of $100 or more is received from a single
contributor during a calendar year, report the
name, street address, city, state and zip code
of the contributor, the amount contributed this
period, and the cumulative amount received from
the contributor since January 1 of the current
calendar year. Include monetary and nonmonetary
contributions and Ioans when reporting the
cumulative amount.
Contributions totaling Iess than $100 received from
a single contributor during a calendar year are
reported as a Iump sum on Line 2 ofthe the Schedule
C Summary.
Date Received:
A nonmonetary contribution has been received
on the earlier of the foliowing: 1) the date the
contributor made an expenditure for goods
or services at your behest (in consultation or
coordination with you, or at your request or
suggestion); or 2) the date you or your agent
obtained possession or control of the goods or
services.
Per Election to Date:
Candidates subjec to state contribution Iimits (or
if required b local ordinance)
cumulative amount received from each contributor
during the limitation cycle in addition to the
calendar year cumulative amount. (Candidates
for elective state office should refer to FPPC
Campaign Disclosure Manual 1.)
Fair Market Value:
The fair market value of a nonmonetary
contribution is the amount it would cos to purchase
the goods or services on the open market. The fair
market value can be more than the amount it cos
the contributor to provide the goods or services to
you.
If you do not know the value of a rionmonetary
contribution, you may request the contributor to
provide you with a written statement of the value.
If you make a request in writing and the value of
the contribution is $100 or more, the contributor is
required by law tn provide the information.
Administrative Services:
Administrative overhead and start-up expenses
paid by a sponsoring organization for its sponsored
committee are not contributions to the committee
but must be reported on Schedule C. Report the
value of the services in the "Description of Goods
or Services" column and a zero in the "Amount"
and "Cumulative to Date" columns.
Nonmonetary Contributions as
Expenditures:
The total of nonmonetary contributions is reported
on the Summary Page as both contributions
received and expenditures made. Enter the total
on Line 3 of the Schedule C Summary on both
Lines 4 and 10 ofthe Summary Page. (State
Candidates: Most nonmonetary contributions also
count for purposes of the voluntary expenditure
Additional Important Information:
Refer to the Instructions for Schedule A for
important information about:
• Contributor codes
• Contributions from individuals
• Contributions from committees
• Intermediaries
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about aggregating monetary and nonmonetary
contributions, recordkeeping, and more.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Gray Harris
Amounts may be rounded
to whole dollars.
SCHEDULE E
Statement covers period
from -7/' //i=
from //( /'"~
through ^y/24/in
CALIFORNIA AAA
CODES: If one of the following codes accurately describes the payment, you may enter the code. Odtemiom, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
|No
LEG
LIT
campaign
campaign consultants
contribution (explain nonmonetary)*
civic donations
nanumamn|ios/oanvt fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS opPAYEE
(IF COMMITTEE, ALSO ENTER LO, NUMBER)
MBR
MTG
OFC
PET
PHO
POL
Pne
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and s »
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
Pa =� /� --of�—�—
/.o.wumasn
radio airtime and production costs
returned contributions
campaign workers' salaries
tv. or cable airtime and producthon costs
candidate travel, lodging, and meals
stafflspouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Firefighters Print and Design
Sacramento CA 95833
VOT
Voter Data
395
Firefighters Print and Design
Sacramento CA 95833
LIT
2390
Firefighters Print and Design
Sacramento CA 95833
WEB
1350
* Payments that are contribution or independen expenditures must also be summarized on Sc edule D.
SUBTOTAL $ 1(3s
Schedule E Summary
1. Jtemzed 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) )
[��z�,
�
$ c' � '� `~.
�
�� c�r�
4. lo�dpoymn�anvadoth�par�d �\ddUnne1.2. and 3` Enter here and on the Summary Page, Cn|ur�n/,UneG]---.._--- TOTAL $ (} `�
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Instructions for
Schedule E
Payments Made
CALIFORNIA
FORM
460�
Report payments on Schedule E (othe than loans).
For each payment of $1 00 or more made during
the period, report the name and street address,
city, state, and zip code of the payee or creditor,
and the amount paid during the period. Payments
of Iess than $100 during the period are reported as
a Iump sum on Line 2 of the Schedule E Summary.
However, iftwo or more payments under $100
were made for a single product or service and the
total paid during the period was $100 or more,
itemize the total amount paid during the period.
Report payments made on accrued expenses.
Also report the required information on
Schedule F.
Code or Description of Payment:
If one of the codes Iisted on Schedule E fully
describes the payment, enter the code. A full
description of each code is provided on the back of
the Schedule E-Continuation Sheet. If none of the
codes fully explains the payment, leave the Code'
column blank and enter a brief description of the
goods or services purchased in the Description of
Payment" column.
Credit Card Payments:
Disclose the namn, address, and amount paid to
the credit card company during the period. Also
disclose the name, address, amount paid, and
code or description of payment for each vendor
paid $100 or more. You may disclose the vendor
payments on Schedue E or Schedule G.
Payments by Agents and Independent
Contractors:
When an agent or independent contractor (e.g.,
campaign worker, advertising agency, campaign
management firm) makes payments on your
behalf (''oubvendorpayments"), disclose the name,
address, amount paid, and code or description
of payment for each vendor paid $500 or more.
Disclose payments to the agent or independent
contractor on Schedule E. You may disclose the
subvendor payments on Schedule E or Schedule
G.
Loans:
Report interes paid on Ioans received on Line 3 of
the Schedule E Summary (from Schedule B, Part
1, Column (e)).
Report payments payments made on Ioans received on
Schedule B and Ioans made to others on Schedule
H. Do not report on Schedule E.
Savings Accounts/Certificates of
Deposit/Money Market Accounts:
Do not report transfers of campaign funds into
savings accounts, certificates of deposit, money
market accounts, or the purchase of any other
asset that can readily be converted to cash on
Schedule E. Continue reporting these amounts as
part of your cash on hand on the Summary Page.
Candidates:
• Candidates must briefly describe the political,
Iegislative, or governmental purpose of an
itemized expenditure for gifts, meals, and travel
payments. FPPC Regulation 18421.7 sets out
the requirements.
•
Candidate controlled bailot measure committee
funds may only be used to make payments
related to a state or Iocal measure or potential
measure (including qualification activities)
anticipated by the committee. See FPPC
regulation 18521.5.
Ballot Measure Committees
A batiot measure committee that makes a payment
to any business entit (1) which is owned 50
percent or more by any of the individuals Iisted
below, or (2) in which any of the individuals Iisted
below is an officer, partner, consultant or employee,
must report that individual's name, relationship to
the committee, and a description of the ownership
interest or position with the business entity.
Individuals covered by (1) and (2) above include:
-- A candidate or person controlling the
committee; or
-- An officer or employee of the committee; or
-- The spouse of any of the above.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Gray Harris
Amounts may be rounded
to whole dollars.
SCHEDULE E (CONT.)
Statement covers period
from
through CI / 2-111 1(0
CALIFORNIA Agn
FORM --11.111 %IF
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
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
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
Page h4_ of
I.D. NUMBER
3331_0 3Co
radio airtime and production costs
returned contributions
campaign workers' salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (Internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Firefighters Print and Design
Sacramento CA 95833
CODE
CMP
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Signs
740
FEDEX Office
Alameda Ca
94501
VOT
Printing Voter Data
475
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL $ 2) 5
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Instructions for
Schedule E (Continued)
Payments Made
CALIFORNIA
FORM
Codes:
CMP: Campaign paraphernalia/misc. Lawn
signs, buttons, bumper sticker , T- hirts, pot o|dnm.
etc. lncludes costs of election night event.
CNS: Campaign consultants. Fees and
commissions paid to professional campaign
management or consuiting firms.
CTB: Contributions. Contributions made to other
candidates and committees. Use "CTB" for direct
monetary contributions. For nonmonetary (in-kind)
contributions, use "CTB" and, if one of the other
codes accurately describes the expenditure, you
may enter that code also. Otherwise, describe the
payment. AIso provide the name of the candidate
or committee that received the nonmonetary
contribution in the "Description of Payment" coiumn.*
CVC: Civic donations. Donations to civic,
nonprofit or education organizations; payments for
community events.
FIL: Candidate Filing/Ballot Fees. Payments to
election officiais for candidate filing fees and fees
charged for pubiication of a baliot statement.
FND: Fundraising events. Expenditures
associated with holding a fundraising event,
including payments for event space to hotels
or halis, payments for food and beverages to
restaurants, caterers and other vendors, and
payments for speakers, entertainment, and
decorations. Inciudes costs of house parties.
(Use "LIT" for costs of invitations, brochures, and
solicitations associated with fundraising events.)
IND: Independent expenditures. Payments
for communications that supportloppose other
candidates or measures that are not made in
consultation or coordination with the candidates
or a bailot measure committee. Use ''|NO''and,
if one of the other codes accurately describes
the independent expenditure, you may enter that
code also. Otherwise, describe the payment. Also
provide the name of the candidate or bailot measure
supported or opposed by the expenditure.*
LEG: Legal Defense. Attorney or other fees paid
for legal defense.
LIT: Campaign literature and mailings.
Preparation, production, and distribution of
campaign |itenatune, direct mail pieces, fundraising
solicitations, and door hangers. Includes costs
of mailing |isto, design/graphics, copy and layout,
printing and photocopying. Includes payments hobe
on a slate mailer, and for absentee ballot mailers.
MBR: Member Communications. Payments
for communications to members, empioyees, or
shareholders of an organization, or their family
members, for the purpose of supporting or opposing
a candidate or baliot measure.
MTG: Meetings and appearances. Costs
associated with meetings, press conferences, town
halis, constituent meetings, etc.
OFC: Office expenses. Expenditures for office
rent; utiiities (including celiular phone service);
purchase or rental of office equipment (computer, fax,
photocopier, etc.) and furniture; office supplies, etc.
PET: Petition circulating. Includes payments
for printing petitions and payments to signature
gathering firms for baliot measure quaiification drives.
PH(]: Phone banks. Costs of phone banks.
POL: Polling and survey research. Costs of
designing and conducting polis, reports on election
trondn, voter surveys, etc.
POS: Postage, delivery and messenger
services. Includes U.S. Postal Sen/ice, Federal
Express, United Parcel Service, and other delivery
and courier services.
PRO: Professional services. Includes legal,
accounting, and bookkeeping services.
PRT: Print space and production costs. Includes
advertising space in newspapers, magazines and
other publications, and billboard ads.
RAD: Radio airtime and production costs.
RFD: Returned contributions.
SAL: Campaign workers salaries. Includes state
and federal payroll taxes.
TEL: Television or cable airtime and video
production costs.
TRC: Candidate travel. Payments or
reimbursements for travei, lodging, and meais of a
candidate.
TRS: Staff/spouse travel. Payments or
reimbursements for travel, lodging, and meais of a
candidate's representative (staif), or member of the
candidate's household.
TSF: Transfers. Only use this code to report the
transfer of funds to another authorized committee
of the same candidate or sponsoring organization.
Report funds this committee gives to other
committees on Scheduie E, as contributions (CTB")
to those committees, not as transfers.
VOT: Voter registration costs.
WEB: Information technology costs Includes
payments for website dooign, o-moi|, Internet
access, production of website and e-mail
advertising.
*payments that are contributions or independent
expenditures to support or oppose other
candidates, measures, and committees must
also be summarized on Schedule D.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule F
Accrued Expenses (Unpaid Bills)
SCE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollar .
SCHEDULE E F
Statement covers perio
-7//L
through /2t// CI "
from
CALIFORNIA
Gray Harris
CODES: If one of the following codes accurately describes
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate fiUns/ba|mfeeo
fundraising events
independent expenditure supportingfopposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
the payment, you may enter the code.
MBR member communication
MTG meetings and appearances
OFC office expenses
PET petition circulating
PHo phone banks
POL polling and survey research
POS postage, delivery and messenger services
PRO professional services (legal, accounting)
PRT print ads
CODE OR
DESCRIPTION OF PAYMENT
Othaminn,
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
Page /`� y.�—
/.o.wuMasn
/3 3(cD
describe the payment.
radio airtime and production costs
returned contributions
campaign workers' salaries
tv, or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
(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 contribution or independerlt expenditures must also be
summarized on Schedule D.
SUBTOTALS $
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.)
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.)
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
INCURRED TOTALS $
NET $
May be a negative number
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@f pc.ca.gov (866/275-3772)
Instructions for
Schedule F
Accrued Expenses (Unpaid Bills)
CALIFORNIA
460
FORM
Report unpaid bilis for goods or services on
Schedule F.
If the amount owed to a single vendor is $1 00
or more at the end of the reporting period, you
must disclose the name and street address, city,
state, and zip code of the payee or creditor and
the amount incurred during the period that is
outstanding at the end of the period (Column (b)).
Continue reporting the accrued expense on each
subsequent campaign statement until it is paid.
You are not required to report on Schedule F
regular administrative overhead expenses, such
as rent, utilities, phones, or employee salaries if
you have not received a bill in the normal course of
business or if the due date for the payment is after
the closing date of the statement.
If you do not know the exact amount of a debt or
obligation, provide an estimate. Once the exact
amount is known, amend the estimated amount
or note the correct amount on the next campaign
statement.
Unpaid bilis of Iess than $100 at the end of the
reporting period are added together and included
in the total reported on Line 1 of the Schedule F
Summary.
When accrued expenses are paid, the payments
are reported on Schedule E. AIso report the
payment on Schedule F, Column (c).
Code or Description of Payment:
If one of the expenditure codes Iisted on Schedule
F fully describes the payment, enter the code. A
full description of each code is provided on the
back of the Schedule E Continuation Sheet. If
none of the codes fully explains the expenditure,
enter a brief description of the goods or services
instead.
There are special instructions on the back of
the Schedule E Continuation Sheet for coding
and describing nonmonetary contributions and
independent expenditures to support/oppose other
candidates, committees, and bailot measures.
Accrued expenses that are nonmonetary
contributions and independent expenditures must
also be summarized on Schedule D when incurred.
Credit Card Payments:
Disctose the name, address, and amount owed or
paid to the credit card company during the period.
AIso disclose the name, address, amount paid, and
code or description of payment for each vendor
paid $100 or more. You may disclose the vendor
payments on Schedule F or Schedule G.
Payments by Agents and Independent
Contractors:
When an agent or independent contractor
(e.g., campaign worker, advertising agency,
campaign management firm) makes payments
on your behalf (subvendor payments"), disclose
the name, address, amount paid, and code or
description of payment for each vendor paid $500
or more. Disclose amounts owed to the agent or
independent contractor on Schedule F. You may
disclose the subvendor payments on Schedule F or
Schedule G.
Note: It is not necessary to reitemize credit card
vendors or agent subvendors on Schedule F or G
when payments are made on accrued expenses,
or if an accrued expense is itemized on more than
one statement.
Forgiveness or Third Party Payment of
an Accrued Expense:
If a creditor forgives or reduces an outstanding
debt, or a third party pays a debt for you, report the
transaction as foflows:
•
In the Description of Payment" column, state
that the debt was forgiven, reduced, or paid by a
third party.
• Report the amount forgiven, reduced, or paid by
a third party as a negative figure in the "Amount
Incurred This Period" column (Column (b)).
• Report a nonmonetary contribution from the
creditor or third party on Schedule C.
Do not report the forgiveness reduction, or third
party payment on Schedule E.
Refer to the FPPC Campaig Disclosure Manual
for your type of committee for important information
about recordkeeping, cash expenditures,
permissible uses of campaign fundn, and more.
FPPC Form 460 (Jan/2016
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule H
Loans Made to Others*
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Gray Harris
Amounts may be rounded
to whole dollars.
FULL NAME, STREET ADDRESS AND ZIP CODE
OF RECIPIENT
(IF COMMITTEE, ALSO ENTER ID. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF- EMPLOYED, ENTER
NAME OF BUSINESS)
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
LOANED THIS
PERIOD
Statement covers period
from / t '<
SCHEDULE H
CALIFORNIA dF►
through
(c)
REPAYMENT OR
FORGIVENESS
THIS PERIOD*
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
(e)
INTEREST
RECEIVED
Page
I.D. NUMBER
(38
(f)
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
LOANS
TO DATE
❑ PAID
❑ FORGIVEN
DATE DUE
RATE
DATE INCURRED
CALENDAR YEAR
PER ELECTION'*
❑ PAID
❑ FORGIVEN
DATE DUE
RATE
DATE INCURRED
CALENDAR YEAR
PER. ELECTION**
*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.) ................................... ............................... .......................... NET $
(Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number)
* *If Required
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Instructions for
Schedule G
Payments Made by an Agent or
Independent Contractor
CALIFORNIA
460
FORM
Report payments made on your behalf during
the reporting period by an agent or independent
contractor (such as a campaign campaign management flrm
or an advertising agency) on Schedule G.
Schedule G may be completed by the agent
or independent contractor and provided to you
or Schedule G may be completed by you from
information provided by the agent or independent
contractor.
Report expenditures of $500 or more (other than
ditures for th ent's or independent
contractor's overhead and normal operating
expenses) made on your behalf during the
reporting period.
Once a subvendor payment has been itemized on
Schedule E, F, or G, it does not need to be itemized
again. For example, if a subvendor payment is
reported on Schedule F or G as part of an accrued
expense, the subvendor information does not need
to be reported again on subsequent reports.
Code or Description of Payment:
If one of the expenditure codes Iisted on Schedule
G fully describes the payment, enter the code. A
full description of each code is provided on the
back of the Schedule E Continuation Sheet. If
none of the codes fully explains the expenditure,
enter a brief description of the payment instead.
Important: Officeholders and candidates may
reimburse an agent or independent contractor for
expenditures made on their behalf only if all of the
foliowing criteria are met:
• There is a written contrac between the
officeholder or candidate and the agent or
independent contractor that provides for the
reimbursement;
• The treasurer is provide with a date receipt
and written description of each expenditure prior
to reimbursement; and
• Reimbursement is paid within 45 calendar days
after the agent or independent contractor makes
the expenditures.
Generally, if reimbursement is not paid within
45 calendar days, report the expenditure as a
nonmonetary contribution on Schedule C.
Refer to the FPPC Campaign Disclosure
Manual for your type of committee for additional
instructions.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule I
Miscellaneous Increases to Cash
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/
(-47
through
SCHEDULE 1
CALIFORNIA 460
FORM
Page of
NAME OF FILER
Gray Harris
DATE
RECEIVED
FULL NAME AND ADDRESS OF SOURCE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
DESCRIPTION OF RECEIPT
I.D. NUMBER
AMOUNT OF
INCREASE TO CASH
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $
Schedule I Summary
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)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Instructions for
Schedule H
Loans Made to Others
CALIFORNIA
460 FORM
All toans made or outstanding are reported on
Schedule H.
Generaily, campaign funds may be used to
make loans to other candidates, officeholders, or
committees (unless otherwise prohibited) and to
bona fide charitable, odunodiona|, civic, ro|igioun, or
similar tax-exempt nonprofit organizations. There
are restrictions on Ioans to any other person,
including a candidate who controls the committee,
or to a nonprofit organization that is affihiated with
a candidate, the treasurer, or other committee
officials.
For each loan of $100 or more that was made
or was outstanding during the reporting period,
disclose the recipient's name and address and, if
an individual, his/her occupation and employer or, if
self employed, the name of the business.
Column (a) — Enter the outstanding loan balance
at the beginning of this period (column (d) of Iast
report.) If the loan was made this period, this
column will be blank.
Cnumn(b)— Enba the amount Ioaned to the
recipient during this reporting period. If this loan
was made in a previous reporting period, leave
blank.
Column (c) — Enter the amount of any reduction
of the loan during this reporting period. Check
whether the loan was paid or forgiven. If the
committee forgives a |oan, also report the
transaction on Schedule E.
Column Enter the outstanding balance of the
loan(s) close of this reporting period. Enter
the due date, if any.
Column (e) — Enter the interest rate and amount
of interes received on the loan(s) during this
reporting period. Interest received is reported
separately from payments received on the loan
principal. Interest payments are also transferred to
the Schedule 1 Summary.
Column (f) — Enter the original amount of the loan
and date made. If this is the first time you are
reporting the loan, this will be the same amount
reported in Column (b).
Column (g) — For each loan made during this
reporting period that is a contribution,* enter
the cumulative amount of contributions (loans,
monetary and nonmonetary contributions)
made to the recipient during the calendar year
covered by the statement. If the recipient is a
candidate subject to state contribution limits, or
the information is required by local ordinonce, also
enter the total amount contributed to the candidate
in connection with each limitation cycle and identify
the election year. (For contributions to state
candidates, see the Schedule D instructions.)
Schedule H Summary:
The Schedule H Sum reflects th "net
change" in the committee's loan activity. That is,
repayments received are subtracted from new
loans made. When the re t number is larger
than the amount of the new Ioans made, Line 3
will be a negative figure. For example, if $200
is received by the committee during the period
and only $100 is made in new Ioans, report the
net change on Line "-$100" $ Be
sure to carry this figure to the Summary Page as
a negative figure to be subtracted from Summary
Page totals.
Refer to the FPPC Campaign Disclosure Manual
for your type of committee for important information
about recordkeeping, prohibitions on cash
contributions, loan restrictions, and more.
*Loans that are contributions to candidates or ot er
committees must also be reported on Schedule D.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)