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Roloff 460Roloff Fax 5105222416 Oct 28 2016 0 Recipient Committee Campaign Statement Cover Page Statement covers period 09/25/2016 from ID. SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. 2. Type of Statement: 10/22/2016 Date of election if applicable: (Month, Day, Year) 11/08/2016 66 Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also CompOsie Part 5) General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee 3. Committee Information D Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Comploto Prel 6) D Primarily Formed Candidate/ Officeholder Committee (Also C:omptie Part 7) COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jennifer Roloff City Council 2016 STREET ADDRESS (NO P.O. BOX) CITY Alameda STATE CA NUMBER 1385651 ZIP CODE AREA CODEIPHONE 94501 415-999-4395 MAILING ADDRESS (IF DIFFERENT) No. AND STREET OR P.O. BOX CITY OPTIONAL. FAX 1 E-MAIL ADDRESS jennifer@jenniferroloff.com 4. Verification STATE ZIP CODE AREA CODEIPHONE 1 have used all reasonable diligence in preparing and reviewing this statement and to the best of FPPC Form 460 (fan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) 5105222416 Oct 28 2016 02:35PM Roloff Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jennifer Roloff OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Alameda City Council 2016 RESIDENTIAUBUSINESS ADDRESS (NO. AND STRUM CITY STATE ZIP Alameda CA 94501 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 NAME OF TREASURER ID. NUMBER CONTROLLED COMMITTEE?' 0 YES 0 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? — COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY YES 0 NO STATE ZIP CODE AREA CODE/PHONE Miri 1 I MIME 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE — BALLOT NO. OR LETTER JURISDICTION Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT COVER PAGE - PART 2 CALIFORNIA 460 FORM 0 SUPPORT 0 OPPOSE OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Lis t 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 Ja111.6,.4 ig 7182401SOMMISSO... Attach continuation sheets if necessary CI SUPPORT 0 OPPOSE O SUPPORT O OPPOSE O SUPPORT O OPPOSE O SUPPORT O OPPOSE FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Oct 28 2016 02:35PM Roloff Fax 5105222416 Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Roloff City Council 2016 Contributions Received 1. Monetary Contributions Schedule A, Line 3 $ 2. Loans Received Schedule 8, 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, Une 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 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 I, Line 4 15. Cash Payments Column A, Line 6 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions an reverse $ 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ 5,549.00 0.00. 5,549.00 0.00 5,549.00 7.431.10 0.00 7,431.10 4,800.00 0.00 12.231.10 5,087.76 5,549.00 0.00 7,431.10 3,205.66 $ Statement covers period 09/25/2016 from through Column B CALENDAR YEAR TOTAL TO DATE 10,819.99 2,500.00 13,319.99 2,025.75 15,345.74 10.113.34 0.00 10,113.34 4,800.00 2,025.75 16,939.09 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 0.00 filed for this calendar year. only carry over the amounts from Lines 2, 7, and 9 (if any). 0.00 4,800.00 10/22/2016 SUMMARY PAGE CALIFORNIA A an FORM .11.1.01riaNO 3 11 Page of I.D. NUMBER 1385651 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6(30 7/1 to Date 20. Contributions Received $ 21. Expenditures Made Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If SLI Iklec-t to Voluntary Eapanditura Limit) Date of Election (mm/dd/yy) / / $ / Total to Date 1 *Amounts in this section may be different from amounts I reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov M66/275-3774 www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Roloff City Council 2016 DATE RECEIVED Amounts may be rounded to whole dollars. FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * Carmen Plaza De Jennings 09/23/2016 Alameda CA. 94501 09/29/2016 Alameda CA. 94501 Anthony Shomon 09/29/2016 Alameda CA. 94501 Jim Sweeney Suzanne Lindsey 09/30/2016 Alameda, CA. 94502 Randall Chin 10/02/2016 Alameda CA. 94501 MO. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF4EMPLOVED, ENTER NAME OF BUSINESS) 0 IND EJ COM Attorney EJ OTH p-ry scc O IND com Retired 001-11 Retired El PTY SCC 2] IND OCOm Retired OTH Retired El p-ry scc IND El com Retired El OTH Retired 1:1 p-rY scc ZIIND El COM o OTH OPTY o scc Hirschfeld Kraemer LLP IT Manager Self Employed (Randall Chin) Statement covers period 09/25/2016 from through 10/22/2016 AMOUNT RECEIVED THIS PERIOD 250.00 100.00 100.00 500.00 100.00 SUBTOTAL $ 1050.00 SCHEDULE A CALIFORNIA 460 FORM 4 Page of 11 I.D. NUMBER 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - OEC. 31) 250.00 100.00 100.00 500.00 100.00 PER ELECTION TO DATE (IF REQUIRED) 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 $ 4,950.0 599.00 5,549.00 *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 Roloff Fax 5105222416 Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Amounts may be rounded to whole dollars. Jennifer Roloff City Council 2016 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER IA NUMBER) CODE * Eric Anders 10/03/2016 Alameda CA. 94501 Claudia Perkins 10/08/2016 Alameda CA. 94502 Christopher and Trudi Seiwald 10/10/2016 Alameda CA. 94501 Mark Greenside 10/10/2016 Alameda CA. 94501 10/10/2016 Alameda CA. 94501 Seelenbacher Jewelers 'Contributor Codes • IND — Individual COM — Recipient Committee (other than PTY or SCC) rsJ OTH — Other (e.g., business entity) PTY — Political Party ao • SCC — Small Contributor Committee 0 0 IND El COm El OTH 0 PTY 0 BCC IND 0 COM OTH PTY 0 scc 21 IND 0 COM 0 OTH PTY SCC 0 IND 0 COM OTH p-ry sco 0 IND 0 COM OTH PTY SCC IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Retired Retired Executive Cliff Bar & Company Retired Retired Retired Retired Statement covers period from 09/25/2016 through 10/22/2016 SCHEDULE A (CONT.) CALIFORNIA Ag A FORM Page 5 I.D. NUMBER 1385651 of 11 AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED THIS CALENDAR YEAR TO DATE PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 250.00 250.00 100.00 100.00 1000.00 1000.00 150.00 150.00 250.00 250.00 SUBTOTALS 1750.00 ,• 7•tazA,',v FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fp pc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Jennifer Roloff City Council 2016 Amounts may be rounded to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * h- a, Alameda CA. 94502 ID PTY cn co 0 SCC cl. 0 IND Jim Hager 0 COM 10/13/2016 Dom Alameda CA. 94501 0 PTY D scc Wi IND Suzanne Svendsen 0 com 10/14/2016 Li OTH Alameda CA. 94501 0 PTY Li SCC 0 IND Stephanie Lipow 0 con 10/18/2016 ID OTH Alameda CA. 94501 CI PTY 0 SCC 121IND Tim Coffey COM 10/10/2016 DOTH Alameda CA. 94502 E] PTY 0 SCC IZ IND Richard Tabor COM 10/10/2016 F1OTH Oct 28 2016 02:36PM Roloff Fax 5105222416 *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 Statement covers period from 09/25/2016 through SCHEDULE A (CONT.) 4 6 0 CALIFORNIA FORM 10/22/2016 6 12 Page of I.D. NUMBER IF AN INDIVIDUAL, ENTER AMOUNT OCCUPATION AND EMPLOYER RECEIVED THIS (IF SELF-EMPLOYED. ENTER NAME PERIOD OF BUSINESS) Research Analyst FIG Partners Dentist Self Employed (Richard Tabor, Jr., D.D.S. Inc) Retired Retired Retired Retired Project Manager MSC, Inc. 1385651 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) 100.00 100.00 250.00 250.00 1000.00 1000.00 350.00 350.00 100.00 SUBTOTAL $ 1800.00 100.00 PER ELECTION TO DATE (IF REQUIRED) FPPC Form 460 (Jan/2016) FPPC Advlce: advIce@fppc.ca.gov (86G/275-3772) www,Ippc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received NAME OF FILER Jennifer Roloff City Council 2016 Amounts may be rounded SCHEDULE A (CONT.) to whole dollars. DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * Lynn Anders 10/20/2016 Alameda CA. 94502 James Davis 10/20/2016 Alameda CA. 94502 CU CI) Oct 28 2016 02:36PM Roloff Fax 5105222416 1 *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 IND o COM OTH PTY 0 scc 1211ND 0 COM O OTH 0 PTY SCC 0 IND 0 com 0 OTH ▪ PTY O SCC 0 IND 0 COM o OTH LI FrY 0 scc 0 IND 0 COM OTH PTY El scc Statement covers period from 09/25/2016 through 10/22/2016 CALIFORNIA FORM 460 7 Page of 11 I.D. NUMBER 1385651 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE oF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Retired Retired Retired Retired 250.00 250.00 100.00 100.00 SUBTOTAL$ 350.00 FPPC Form 46D (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Roloff Fax 5105222416 Oct 28 2016 02 Schedule B — Part 1 Loans Received SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Roloff City Council 2016 Amounts may be rounded to whole dollars. Statement covers period from 09/25/2016 through 10/22/2016 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT OUTSTANDING INTEREST Oil lo OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS (IF SELF-EMPLOYED, ENTER AMOUNT PAID OF COMMITTEE, ALSO ENTER 1.0. NUMBER) NAME OF BUSINESS) PERIOD PERIOD OR FORGIVEN. BALANCE AT PAID THIS THIS PERIOD - PERIOD CLOSE OF THIS BEGINNING THIS PERIOD El PAID Todd Roloff Alameda, CA. 94501 [;6 IND 0 COM D OTH 0 PTV J SCC T 0 IND 0 COM 0 OTH 0 PTY 0 SCC 0 IND 0 COM 0 OTH 0 PTY 0 scc Schedule B Summary Self Employed Todd Roloff Consulting 2500.00 $ SUBTOTALS $ 0.00 2.500.00 0 FORGIVEN 0.00 0.00 4/26/17 DATE DUE 0 PAID 0 FORGIVEN o $ PAID 0 FORGIVEN $ DATE DUE DATE DUE SCHEDULE - PART 1 CALIFORNIA 460 FORM Page 8 I.D. NUMBER 1385651 of 11 Iti (9 ORIGINAL AMOUNT OF LOAN 0 % 2500.0Q RATE 0.00 04/26/16 DATE INCURRED CUMULATIVE CONTRIBUTIONS 70 DATE CALENDAR YEAR $ 2.500.00. PER ELECTION" $ 2.500.00 CALENDAR YEAR -% RATE PER ELECTION" RATE 0.00 $ 0.00 $ 2,500.00 $ 0.00 (Enter (e) on Schedule E, Line 3) 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.) ..... ..... .......,...................,........................ NET $ Enter the net here and on the Summary Page, Column A, Line 2. ( A. *Amounts forgiven or paid by another party also must be reported on Schedule A. *6 If required. fl 00 (May be a negative number) DATE INCURRED CALENDAR YEAR PER ELECTION" DATE INCURRED tContributor Codes IND — Individual COM — Recipient Commttee (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 (8561275-37721 www.fppc.ca.gov 5105222416 Oct 28 2016 02:37PM Roloff Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Ro loff City Council 2016 11■1■111.111. Amounts may be rounded to whole dollars. Statement covers period 09/25/2016 from through 10/22/2016 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 supporfing/opposing others (explain)" legal defense campaign literature and mailings Rigging. NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) Alameda Sun Alameda CA. 94501 Alameda Joumal Alameda CA. 94501 Campaign Partner www.campaignpartner.com On-Line Web Hosting - Boston MA 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 SCHEDULE E CALIFORNIA Agn FORM 9 Page of 11 I.D. NUMBER 1385651 radio airtime and production costs retumed 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 (intemet, e-mail) CODE OR DESCRIPTION OF PAYMENT Newspaper Ads PRT (ytd $2,472.50) Newspaper Ads PRT (ytd $1 ,437.75) Web hosting WEB (ytd $174) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. AMOUNT PAID 1,122.50 1329.75 29.00 SUBTOTAL $ 2,481.25 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 2. Unitemlzed payments made this period of under $100 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).)....... ........ ............................... ................. ..... . $ 4. Total payments made this period, (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 7,379.32 51.78 0.00 7,431.10 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Oct 28 2018 02:37PM Roloff Fax 5105222416 Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Roloff City Council 2016 Amounts may be rounded to whole dollars. Statement covers period 09/25/2016 10/22/2016 from through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research P05 postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads 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 (I F COMMITTEE, ALSO ENTER ID. NUMBER) Stripe San Francisco CA. 94107 CR Print Westlake Village, CA 91362 CODE SCHEDULE E (CONT.) CALIFORNIA 460 FORM 10 11 Page of ID. NUMBER' 1385651 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL tv. 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) OR DESCRIPTION OF PAYMENT AMOUNT PAID Transfer Fees for Contributions PRO (ytd $153.85) LIT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. Mailers and Flyers 73.33 $4,824.74 SUBTOTAL $ 4,898.07 FPPC Form 460 (Jan/2015) FPPC Advice: advice@fppc.ca.gov (1366/275-3772) Oct 28 2016 02:38PM Roloff Fax 5105222416 Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Jennifer Roloff City Council 2016 Amounts may be rounded to whole dollars. Statement covers period 09/25/2016 from through CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, CMP campaign paraphernalla/misc. CNS campaign consultants CTB contribution (explain nonmonetary)* CVC civic donations FIL candidate filing/ballot fees FND fundraising events IND independent expenditure supporting/opposing others (explain)* LEG legal defense LIT campaign literature and mailings NAME AND ADDRESS OF CREDITOR IF COMMITTEE. ALSO ENTER I.D. NUMBER) Todd Ro loff Alameda, CA. 94501 City of Alameda Alameda, CA. 94501 • Payments that are contributions or Independent expenditures must also be summarized on Schedule D. MBR member communications RAD MTG meetings and appearances RFD 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 CTB (Loan to begin Campaign) FIL (balance of filing fees) SUBTOTALS $ (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD 2,500.00 2,300.00 4,800.00 $ SAL TEL TRC TRS TSF VOT WEB 10/22/2016 SCHEDULE F CALIFORNIA Alp,r1 FORM 1 1 11 Page of ID. NUMBER 1385651 describe the payment. radio airtime and production costs retumed 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) (b) (c) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD 2,500.00 2,300.00 0.00 2,500.00 0.00 2,300.00 4,800.00 $ 0.00 $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ........... .............. ........ ......... INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) 4,800.00 4,800.00 0.00 NET $ 4,800.00 May be a negative number FPPC Form 460 (Jan/2016) FPPC Advice: advIcepfppc.ca.gov (866/275-3772) www.fppc.ca.gov