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Home My WebLink AboutDaniel Rivoire - Form 460 - Termination 01-21-15Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from October 19, 2014 through December 31, 2014 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D NUMBER 1368559 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Vote Rivoire for City Council 2014 STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 OPTIONAL: FAX / E -MAIL ADDRESS COVER PAGE Date Stamp Date of election if applicable: JAN _� of I (Month, Day, Year) JAN 2 i 2_015 For official Use Only November 4, 2014 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Michelle Shoresman MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo CA 93401 NAME OF ASSISTANT TREASURER, IF ANY Mary Ellen Gibson MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE San Luis Obispo OPTIONAL: FAX / E -MAIL ADDRESS CA 93401 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and cor ect. * „ Executed on By f I t Signat[ reofTreasurerofAssWant. Treasurer Executed on +j tlf By L Date oro o o. Candidate. State Measure PmoormntarResoormbfeOffpcerofSoonaor Executed on Date By Signature ofControlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of ControllingOFficeholder ,Candidate,StateMeasure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Dan Rivoire OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) San Luis Obispo City Council RESIDENTIAUBUSINESS ADDRESS (NO- AND STREET) CITY STATE ZIP 1266 Mill Street 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 primarily formed to receive COMMITTEE NAME LID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 7— _ of �! 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO OR LETTER JURISDICTION 0 SUPPORT []OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD I 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 Dan Rivoire City Council 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 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Vote Rivoire for City Council 2014 SUMMARY PAGE Statement covers period CALIFORNIA from October 19, 2014 FORM through December 31, 2014 Page -3 of /* I.D. NUMBER 1368559 Expenditures Made Column A Column B Calendar Year Summary for Candidates Contributions Received 7. Loans Made ........................... ............................... TOTALTHIS PERIOD CALENDARYEAR r Running in Both the State Primary and Add Lines 6 + 7 $ 7844.13 $ (FROMATTACHED SCHEDULES) TOTALTO DATE g 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 11 TOTAL EXPENDITURES MADE . ............................... General Elections 1. Monetary Contributions ..... .. ...... ................... ........ .. schedule A, Line 3 00 $ 720. $ 13445.00 O O 1/1 through 6130 711 4o Date 2. Loans Received ....................... ............................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 720.00 $ 13445.00 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ----- --- ----- - - - - -- ... Add Lines 3 +4 $ 720.00 $ 13445.00 Made $ $ Expenditures Made 6. Payments Made ....................... ............................... Schedule E, Line 4 $ 7844.13 $ 7. Loans Made ........................... ............................... Schedule H, Line 3 0 8. SUBTOTALCASH PAYMENTS . .. ............................... Add Lines 6 + 7 $ 7844.13 $ 9. Accrued Expenses (Unpaid Bills) .............................. Schedule F Line 3 0 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0 11 TOTAL EXPENDITURES MADE . ............................... Add Lines s + 9 + 10 $ 7844.13 $ 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. 7124.13 720.00 7844.13 1 11 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0 19. Outstanding Debts.... ... ................. Add Line 2 + Line 9 in Column B above $ 0 13445.00 0 13445.00 0 0 13445.00 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 Subjectto Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA , ' October 19, 2014 FORM from through December 31, 2014 page of SEE INSTRUCTIONS ON REVERSE __4__ NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCOMMITTEE,ALSOENTERIbNUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE* (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND SEE ATTACHED CONTINUATION SHEET ❑ COM ❑ OTH ❑ PTY SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC MIND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC _...�. ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC — - __._........._ SUBTOTAL$ 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.) ......... $ "Contributor Codes IND — Individual 670 COM— Recipient Committee (other than PTY or SCC) 50 OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee TOTAL $ 720 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) California Form 460 Schedule A (Continuation Sheet) Statement Covers October 19, 2014 to December 31, 2014 Page 5 of 14, ID# 1368559 Monetary Contributions Amount This Received Cumulative Election This Period To Date To Date $70.00 $70.00 $70.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $200.00 $200.00 $200.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $670.00 First Contri Date Last Name Name Address City State Code bution Occupation Employer 3346 Barranca Ct. Code 10120/14 Winn _ Arlene San Luis Obispo CA 93401 IND Retired _ James 2531 Boulevard Del 10/22/14 Woolf San Luis CA 93401 IND Retired Campo 2546 Victoria Ave Obispo 10/23/14 Jamison Jeff 'San Luis Obispo CA 93401 IND Woodworker Self 10/23/14 Cox David 1659 Frambuesa Dr San Luis Obispo CA 93405 IND Business Owner Barnett Cox & Associates Inc. 10/25/14 McBride Christine 2359 Florence Ave San Luis CA 93401 IND Cal Poly Fund Cal Poly, SLO Obispo Director 10/28/14 Cohon Karhy 1358 Purple Sage Lane Luis San n Lu CA 93401 IND Retired Amount This Received Cumulative Election This Period To Date To Date $70.00 $70.00 $70.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $200.00 $200.00 $200.00 $100.00 $100.00 $100.00 $100.00 $100.00 $100.00 $670.00 SCHEDULEB -PART1 . y r_ ... r ..... ... ... Schedule B — Part 1 Amounts may be rounded Statement covers period Loans Received to whole dollars. October 19, 2014 i from December 31, 201, SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER t "I OUTSTANDING (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING (e) INTEREST (r) (gl ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS AMOUNT OF CONTRIBUTIONS (IFCOMMITTEE, ALSO ENTER I D NUMBER) (IFSELF- EMPLOYED, ENTER NAMEOFBUSINESS) BEGINNING THIS PER I D PERIOD THIS PERIOD* CLOSE OF THIS PERIOD PERIOD LOAN .� TO DATE N/A ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION- RATE $ $ $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION ** RATE $ $ $ S $ DATE DUE tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDARYEAR $ S % $ $ PERELECTION ** ❑ FORGIVEN RATE S S 3 $ $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 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. G N NET $ 0 (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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule C Type or print in ink. SCHEDULE C Amounts may be rounded Nonmonetary Contributions Received to dollars. Statement covers period CALIFORNIA whole ! ' October 19, 2014 FORM from December 31, 201 r through s�SEE INSTRUCTIONS ON REVERSE _ __ Page _:L_ Of NAIVE OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT DESCRIPTION OF CUMULATIVE TO DATE PER ELECTION DATE RECEIVED ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER I D NUMBER) CODE * OCCUPATION AND EMPLOYER (IFSELF- EMPLOYED, ENTER FAIR MARKET GOODS OR SERVICES VALUE CALENDAR YEAR TO DATE (IF REQUIRED) (IF NAME OF BUSINESS) (JAN 1 - DEC 31) ❑IND - - ❑COM ❑ OTH ❑ PTY ❑SCC FIND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 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.) "Contributor Codes IND - Individual $ 0 COM - Recipient Committee (other than PTY or SCC) $ 0 OTH - Other (e.g., business entity) PTY- Political Party 0 SCC - Small Contributor Committee TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule D SCHEDULED Summary of Expenditures Type or print in ink. Statement covers period Supporting/Opposing Other Amounts may be rounded ! ' - to whole dollars. October 19, 2014 f Candidates, Measures and Committees '' °m December 31, 201, Page SEE INSTRUCTIONS ON REVERSE through of NAME OF FILER I.D NUMBER Vote Rivoire for City Council 2014 1368559 DATE AND DISTRICT OR NAME OF CANDIDATE, OFFICE, , TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) PERIOD (JAN.1 -DEC 31) (IF REQUIRED) ORCOMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution _ _______ _____________._; ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose 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 $ 0 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from October 19, 2014 201 SEE INSTRUCTIONS ON REVERSE through December 31, Page � of NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalia /misc. MBR 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 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 LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) SEE ATTACHED CONTINUATION SHEET CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) .................................... ............................... 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).) ..... ............................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) AMOUNT PAID $ 7562.41 $ 281.72 ............... $ 0 .. TOTAL $ 7844.13 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) California Form 460 Schedule E (Continuation Sheet) Statement Covers Period October 19, 2014 to December 31, 2014 Payments Name of Filer: Vote Rivoire for City Council 2014 Page 10 of 14, ID# 1368559 Name Address Code Description of Payment Amount San Luis Obispo Chamber of Commerce 895 Monterey St, San Luis Obispo, CA 93401 MTG Meeting Ticket $145.00 Facebook 1601 Willow Road, Menlo Park, CA 94025 WEB Social Media Ads $271.10 Petra Pizza 1210 Higuera Street, San Luis Obispo, CA 93401 Election Night Party Food $1,204.29 Facebook 1601 Willow Road, Menlo Park, CA 94025 WEB Social Media Ads $550.67 Madonna Inn 100 Madonna Road, San Luis Obispo, CA 93405 Volunteer Appreciation $150.00 Madonna Inn 100 Madonna Road, San Luis Obispo, CA 93405 Volunteer Appreciation $150.00 West Elm 3250 Van Ness Avenue, San Francisco, CA 94109 Volunteer Appreciation $200.00 Facebook 1601 Willow Road, Menlo Park, CA 94025 WEB Social Media Ads $103.37 Achievement House 553 Higuera Street, San Luis Obispo, CA 93401 LIT Mailing Preparation $4,787.98 REPORTING PERIOD 3 TOTAL 1 $7,562.41 Schedule F Accrued Expenses (Unpaid Bills) Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from October 19, 2014 SCHEDULE F through December 31, 201, Page I i of f`t SEE INSTRUCTIONS ON REVERSE NAME OF FILER I -D. NUMBER Vote Rivoire for City Council 2014 1368559 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same 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 CREDITOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OR DESCRIPTION OF PAYMENT ( OUTSTAA NDING BALANCE BEGINNING OF THIS PERIOD ( AMOUNT IN CURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) ( OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD i a * Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ summarized on Schedule D. 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.) $ .. INCURRED TOTALS $ ........................ .PAID TOTALS $ $ i N 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0 on the Summary Page, Column A, Line 9.) ........................................................................... .............................._ NET $ '�� -�'�'� ' -" �- ..... �� May bea negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule G Type or print in ink. - Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Contractor (on Behalf of This Committee) to whole dollars. from October 19, 2014 through December 31, 201 Page � of SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D NUMBER Vote Rivoire for City Council 2014 1368559 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing /ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 0 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) SCHEDULE H Schedule H Type or print in ink. Statement covers period * Amounts may be rounded Loans Made to Others October 19, 2014 CALIFORNIA 6 ' R to whole dollars. from through December 31, 201 j 1 page r � L Of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Vote Rivoire for City Council 2014 1368559 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a) OUTSTANDING (b) gMOUNT (c) REPAYMENT OR (a� OUTS (e) INTEREST (r) ORIGINAL (gj CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF- EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCE AT CLOSE OF THIS RECEIVED AMOUNTOF LOANS (IF COMMITTEE, ALSO ENTER I D NUMBER) NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD PERI D LOAN TO DATE PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE $ $ $ $ S DATE DUE DATE INCURRED PAID CALENDAR YEAR $ $ % $ $ FORGIVEN PER ELECTION— RATE 5 5 $ $ $ DATE DUE DATE INCURRED *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 $ $ $ $ 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.) ------------ --- --- --- --- - -- -- -- - ...-,.- ..................--. $ ............... $ t =nrer csa — Schedule k, Llne 3) 0 0 3. Net change this period. Subtract Line 2 from Line 1. NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) * *If Required FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON REVERSE NAME OF FILER Vote Rivoire for City Council 2014 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I D NUMBER) Type or print in ink. ._T 0 .1nU Amounts may be rounded Statement covers period to whole dollars. O � from October 19, 2014 • through December 31, 201 Page of 14 I.D. NUMBER 1368559 DESCRIPTION OF RECEIPT 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 SummaryPage, Line 14.) ..................................................................................... ............................... .................... $ 0 ...................... $ — 0 0 TOTAL $ 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)