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HomeMy WebLinkAbout460 Carlyn Christianson 05.09.13_RedactedRecipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from Type or print in ink. Date Stamp RECEIVED Statement covers period Date of election if applicable: 01/01/20' 1 (Month, Day, Year) I MAY 0 7 2013 SEE INSTRUCTIONS ON REVERSE I through-r16-'02013 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee ❑ Primarily Formed Q Recall Q Controlled (Also Complete Part5) O Sponsored (Also Complete Part 61 ❑ General Purpose Committee Q Sponsored Q Small Contributor Committee Q Political Party/Central Committee 3. Committee information ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 1,0. NUMBER 1355988 NAME IF NO COMMITTEE) Carlyn Christianson for City Council 2013 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. I3OX CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX I E-MAIL ADDRESS carinypc@gmaii.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my certify under penalty of perjury under the laws of the State of California that the foregoing Executed on 6 r 7 r / By 1 Date Executed on 5' 'T - 2-0 1 By Date Signature of CDnI Executed on By Data 06/18/2013 , SLO CITY C 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Jeri F Carroll COVER PAGE 1 of 10 _. For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS jeri—carroli@aft.net information contq6nep herein and in the attached schedules is true and complete. Executed on Date By FPPC Form 460 (Junel0l ScgnaftlreofControll�rg Otiiceholder, Candidate, State Measure Proponent FPPC Toll -Free Helpline: 866IASK-FPPC State of California Recipient Committee Type or print In Ink. COVER PAGj- PART2 Campaign Statement CALIFORNIA Cover Page -- Part 2FORM ' • S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Cariyn Christianson OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council, Sari Luis Obispo RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP San Luis Obispo, CA 93401 Related Committees Not Included in this Statement. List any committees not included in this statement that are controlled by you or are Pdm"y formed to receive conMbudons or make expenditures on behalf of your candidacy. UUMMITTEE NAME 1,0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAMt Ur I KLASURER I CONTROLLED COMMITTEE? ❑ YES ❑ NO S 1 KELTADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Page 2 of 10 S. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE UALLUT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. OWC Ur UN-KA=iULDER, CANDIDATE, OR PROPONENT SUUUM F OR DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee Is Primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Januarylop FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) State of California Campaign Disclosure Statement Summary Page Type or print in ink Amounts may be rounded Statement covers period to whole dollars. from 01/01/2013 C76N2013 3 10 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Carlyn Christianson for City Council 2013 1355988 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROVIATTACHEDSCHEDULES) CALENDARY R TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ........................................... schedule A, Lines $ 8,887.99 $ 8,887.99 2. Loans Received...................................................... schedule e, Line s 760.00 760.00 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 9,647.99 $ 9,647.99 20.Contributions Received $ $ 4. NOnmonetary Contributions .................................... Schedule C, Line 200.00 200.00 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3+4 $ 9,847.99 $ 9,847.99 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ....................................................... Schedule E, Line 4 $ 8,287.58 $ 8,287.58 Candidates 7. Loans Made............................................................. schedule H, Line 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ 8,287.58 $ 8,287.58 22• Cumulative Expenditures Made* (ff Subjectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 Date of Election Total to Date 10. Nonmonetary Adjustment .......................................... schedule C, Lines (mm/ddtyy) 11. TOTAL EXPENDITURES MADE ........... ..................... Add Lines 849+10 $ 8,287.58 $ 8,287.58 $ 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. Eli 9,647.99 .00 8,287.58 $ 1,360.41 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 gin Column a above $ $ To calculate Column B, add amounts in Column A to the corresponding amounts *Amounts in this section maybe different from amounts from Column B of your last reported in Column B. report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). FPPC Form 460 (January106) FPPC Toll -Free Helpiine: 8661ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may oe rounaea ry to dollars. Statement covers period •' whole ' from 01/01/2013 •- • V'%0/2013 4 10 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Carlyn Christianson for City Council 2013 1 555988 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITiEE, ALSO ENTERI.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC IND ❑❑COM (SEE ATTACHED CONTINUATION SHEET) ❑ OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑OTH ❑ PTY ❑SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ Schedule A Summary Amount received this period —itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................................ $ 2. Amount received this period — unitemized monetary contributions of less than $100 ... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5,900.00 2,987.99 8,887.99 "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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Statement covers period California Form 460 Monetary Contribution Received from 111113 Page 5 of 10 Name of Filer: Carlyn Christianson for through �/Y,/13 I.D. Number: 1355988 City Council 2013 Date Name and Address Code Occupation Employer Period YTD Election 21-Feb Carroll, Jeri, IND Retired 100 100 100 4-Mar Ed Kurtz, IND Food Broker Self 100 100 100 4-Mar David and Naomi Blakely, IND Retired 100 100 100 4-Mar Roy & Linda Rawlings, IND Retired 200 200 200 4-Mar Barbara Christianson, IND Director of Health Education, Kaiser 100 100 100 5-Mar Diann Boyle,= IND Airline Pilot Southwest 100 100 100 12-Mar Susan Hirsch, IND Phy. Therapist Dr. Ford 150 150 150 12-Mar Tom Sant, IND Phy. Therapist Dr. Ford 150 150 150 12-Mar Ronald A. Yukelson, IND Hospital Administrator Sierra Vista Regional Medical Center 100 100 100 12-Mar Anne Reese Kmetovic, IND R 200 2001 200 12-Mar Jan Marx, IND Mayor City of San Luis Obispo 200 200 200 15-Mar Katherine A. Barnicle, IND Researcher Univ of Wisconsin -Madison 200 200 200 18-Mar Wm Kirk & Brenda Moore, IND Acc'ts Manager US Health Works 100 100 100 23-Mar Susan & James Polk, IND Health Ins Broker Susan Polk Ins 100 100 100 25-Mar Jeanne Potter, IND cpa Glenn Burdette 2001 200 200 25-Mar Ra a Fleming, IND Administrator CAPSLO 100 100 100 25-Mar Michael Boswell & Tammy Seale, IND Professor/Planner Cal Poly/PMC 400 400 400 25-Mar Tanya Kiani, IND University Administrator Cal Poly 100 100 100 25-Mar Patricia Andreen IND Attorney Lozano Smith Lawfirm 200 200 200 25-Mar J Trey Duffy, IND Student Services Director Cal Poly 200 200 200 4-Apr Adam Hill, IND County Supervisor SLO County 200 2oo 200 4-Apr Mary Stenger, IND Physician Coastal Anestesiology 200 200 200 5-Apr MM N Parker, IND R 100 100 100 5-Apr Thomas & Cathy Murray, IND Contractor Liteaoo Cut Const 200 200 200 9-Apr Eric Christianson, IND programmer Self Employed 100 1001 100 9-Apr Dawn LeggIND asst project mgr First Solar 100 100 100 9-Apr Nancy Bruno, M IND R 100 100 100 9-Apr Susan Devine, IND R 200 200 200 10-Apr Julie & John Schutz, IND R 200 200 200 15-Apr Kurt Friedmann, IND Sales Agent Self Employed 100 100 100 19-Apr Diann Boyle, IND Pilot Southwest 1001 100 100 19-Apr Daniel Boyle, IND pilot Southwest 2001 200 200 26-Apr Barbara Bell, IND Real Estate inv Designer Self Employed 100 100 100 26-Apr Mike Heyl,111111111M IND Teacher GUSD 200 200 200 26-Apr SLO County Democratic Party, PTY Political Party Democrats 200 200 200 26-Apr Carol Lewellen, IND R 200 200 200 3-May Patricia Harris, END R 100 100 100 3-May Planned Parenthood Action Fund of Santa Barbara Ventur and San Luis OTH Nan Profit Org. 1278950 200 200 200 Subtotal ($ Period) 5,900 w _ ■_ _ Tuna nr nrint in in4 q('HPrl111 P A _ C)ACT i .�a.r���eu�C o —rarer Amounts may be rounded Statement covers period Loans Received to whole dollars. 01/01/2013FORM CALIFORNIA A from !Va� SEE INSTRUCTIONS ON REVERSE through _ /3013 _ Page 6 of 10 NAME OF FILER l.D, NUMBER Cadyn Christianson for City Council 2013 1355988 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE "' AMOUNT (c) AMOUNTPAID OUTS NDING {e INTEREST ORIGINAL g) CUMULATIVE QFCOMMi7TEE,ALSO ENTERI.B.NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR BALANCEAT CLOSE QFTHIS PAID THIS AMQUNTOF CONTRIBUTIONS NAMEOFBUSINESS) THIS PERIOD PE IOD PERIOD LOAN TO DATE Carl n Medical Practice ❑PAID CALENDARYEAR Administrator, $ $ 760 0 11 po, a 93401 Anesthesiology Medical %s RATE $ ❑FORGIVEN Associates PERELECTION*" $ $ 760 $ 6/30/13 0 t® IND ❑ COM ❑ OTH © PTY ❑ $Cc $ DATE INCURRED $ DATEDUE ❑ PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN RATE PERELECTION"" fi❑ IND ❑ COM ❑ OTH © PTY ❑ SCC $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ $ $ $ PERELEC-nON"* ❑ FORGIVEN RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ g DATEDUE $ $ DATE INCURRED SUBTOTALS $ 760 $ $ 760 $ -. Schedule B Summary I. 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. ................. I ..................... $ ..................................... $ 760 $ 760 (Maybe a negative number) Icncer Ie) on ScheduleE. Lhe3) 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 (January106) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661276-3772) Schedule C Nonmonetary Contributions Received Carlyn Christianson for City Council 2013 DATE FULL NAME, STREET ADDRESS AND RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 3/22/13 James L. Killian an Luis Obispo, Ca 3401 Type or print in ink. Amounts may be rounded to whole dollars, CONTRIBUTOR I IF AN INDIVIDUAL, ENTER i CODE * OCCUPATIONAND EMPLOYER (IF SELF-EMPLOYED, ENTER GO NAME OF BUSINESS) MIND 000M ❑ OTH ❑ PTY ❑SCC ❑ IND ❑COM ❑OTH ❑ PTY ❑SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑8CC Printer, San Luis Print em & Copy Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 200 Schedule C Summary 1. Amount received this period -- itemized nonmonetary contributions. (Include all Schedule C subtotals.) ................................. $.................................................................... 2. Amount received.this period — unitemized nonmonetary contributions of less than $100 ..................... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $ 200 200 Statement covers period from 01 /01 /2013 through 15/0,//3013 Page 7 10 I.D. NUMBER 1355988 ION OF ESCRIPSERVICES ADS OR SERVICES AMOUNT/ FAIRMARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) elope printing 200 200 200 "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 (January105) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period From 01/01/2013 through CY-O t'l3 Page 8 of 10 NAME OF FILER I.D. NUMBER Carlyn Christianson for City Council 2013 1355988 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CIVP campaign paraphernalia/mist. NIBR member communications RAID radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingiballot fees PFIO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IFOOMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID SLO Chamber of Commerce MBR 410.00 Tom Meinhold Photography LIT 1 1 182.75 GFL Systems, Inc WEB 1,110.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 1,702.75 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals.) $ 7,983.72 2. Unitemized payments made this period of under $100 $ 303.86 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 $ 8,287.58 FPPC Form 460 (Januaryl05) FPPC Tol[-Free Flelpline: 8661ASK-FPPC (8661275-3772) Schedule E SCHEDULE E (CON%) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period . ` Payments Made towholedollars. from 01/01/2013 • ' • 9 10 C'�4YI2013 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Carlyn Christianson for City Council 2013 1355988 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CUP campaign paraphemalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NRG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)" OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals ND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wild Donke FND 100.00 Cit Clerk, SLO lm FIL 875.00 CMP 159.96 San Luis Print & Copy LIT 446.98 Verdin" LIT 1646.66 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,228.60 FPPC Form 460 (January105) FPPC Toll -Free Hefpline: 8661ASK-FPPC (6661276.3772) Schedule E SCHEDULE E (CONT) (Continuation Sheet) Type or print in ink. Amounts may be rounded Statement covers period •' " I Payments Made towholedollars. 01/01/2013 from _ , + ' SEE INSTRUCTIONS ON REVERSE through uSX0#2013 Pa 10 of 10 Page NAME OF FILER I.U. NUMBER Carlyn Christianson for City Council 2013 1355988 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CW campaign paraphernalialmisc. MBR member communications RAD radio airtime and production costs CNS campaign consultants NM meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration UT campaign literature and mailings PRT print ads ►NEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER [D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Wells Fargo Visa CMP Included on card were payments for meetings, postage, email lists as well as campaign paraphernalia/mist, which was the majority of costs. 2902.37 Special Olympic SLO County MTG 150.00 x Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3052.37 FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 8561ASK-FPPC (8661275-3772)