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HomeMy WebLinkAboutDan Carpenter - Form 460 - Preelection - 10-20-2008Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period p from d C Ache, through '- 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Part 6) 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. )UMBER NAME (OR CANDMATE'S NAME IF NO COMMITTEE) A S ET ADDRESS (NO P.O. EO) _ CITY STATE ZIP CODE AREA CODEIPHONE S/0 C . 1�� :7-> yo/ A 17-114 ML P.O. CITY STATE ZIP CODE AREA CODE /PHONE r-AA / t -MAIL AIJVRES5 C& r'D Q &Aar • A Q 4— COVER PAGE RECEIVED Date of election if applicable: 0 C -if 2 1 29108 P 9e —4-- of __� (Month, Day, Year) SLR CITYLER For Official Use Only Ao v 4 &CY 2. Typ"f Statement: Preelection Statement ❑ Quarterly Statement ❑ Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Forth 495 ❑ Amendment (Explain below) Treasurer(s) MAILING ADDRESS r ^� CITY ZIP_C MAILING �} AWKESS Ave CITY +� STATE / ZIP CODE 1y� Li, c- LJ �pi r Sifii _ f A-' / �I b 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on 2-0 By / Date ! #� � FAX I E -MAIL AREA CODEIPHONE AREA�^- CODEIPHONE {c7- Contained herein and in the attached schedules is true and complete. I certify Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FRPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (8661275 -3772) State of California Instructions for Recipient Committee Campaign Statement —Cover Page Period Covered by a Statement: The "period covered" by a campaign statement begins the day after the closing date of the last campaign statement you filed. For example, if the closing date of the last statement was September 30, the beginning date of the next statement will be October 1. If this is the committee's first campaign statement, begin with January 1 of the current calendar year. The closing date of the statement depends on the type of statement you are filing. Date of Election: If you are filing this statement as a preelection statement in connection with an election, enter the date of the election. Type of Recipient Committee: Check one box to indicate the type of committee filing the statement. General descriptions are provided on the cover sheet to this form, or contact your filing officer or the FPPC for assistance. Following are some additional guidelines: Controlled Committee A controlled committee is one that is controlled by a candidate, officeholder or, in the case of a state ballot measure committee, by the proponent of the measure. A committee is "controlled" if the candidate, officeholder, 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 ballot measure committees and general purpose committees must include the name of the sponsor in the name of ;he committee. Small Contributor Committees • This term is significant only if the committee makes contributions to candidates running for elective state office. Type of Statement: Check the appropriate box(es) to indicate the type of statement you are filing (or amending). Amendments: If you are filing an amendment to a previously filed statement, give a brief explanation of the amendment and list 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 filing campaign statements each year until it is eligible to terminate and files a Form 410 Termination. Most officeholders must continue filing 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 orthe 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 control the committee, each must sign the statement. If more than 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: Referto the FPPC Campaign Disclosure Manual for your type of committee for information about: • When, where, and what type of statements the committee is required to file. • Closing date of campaign statements. • Sponsored committee criteria. • Termination criteria. • Reccrdkeeping requirements and prohibitions. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772) Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Statement CALIFORNIA 460 Cover Page — Part 2 FORM 5. Officeholder or Candidate Controlled Committee NAME OFD FICEHOLD&%OR CANDIDATE OFF1511 SOUGHT OR HELD C'%/t"" CoLl RESIDENTIAUBUSI NESS E 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 ID.NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? 1 ❑ 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE Page '' of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION FSUPPORT L:j OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. If NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ 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 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (866/275 -3772) State of California Instructions for Recipient Committee Campaign Statement —Cover Page. Officeholder or Candidate Controlled Committee: Candidates must 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 Held," 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 controlled 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 period, 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 Held," 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 ballot measure or two or more measures being voted on in the same city, county, multicounty, or state election. A "general purpose" ballot measure committee (one that supports or opposes a variety of state and /or local ballot measures) is not required to complete Part 6. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275-3772) Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVF NAME OF FILER Contributions Received ye- 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 ..• ... .....................AddLines3 +4 Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 7. Loans Made ............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 9, Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + 9 + 10 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts .. ............................... Column A, Line 3above 14. Miscellaneous Increases to Cash Schedule I, Line 4 15. Cash Payments ................... ............................... Column A. Line a 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. Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $ IooO $ j1 '00 $ $ � 'ff $ $ $ t t- r 17. LOAN GUARANTEES RECEIVED ........................... . Schedule e, Part 2 $ E _._ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........ ............................... See instructions on reverse 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ Statement covers period from ep 4e� �� througfit`i�Tri /dpi Column B CALENDARYEAR TOTALTO DATE $ L�17 p© $,'T3c� $ a© S is' 7 S 0 Z� 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). SUMMARY Page � of I.D. NUMBER A30 d S�" 0 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 711 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) Instructions for Summary Page Campaign Disclosure Statement 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 Athrough 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 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 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 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, shoulc 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 beinc voted on in both the state primary and general elections. Complete this summary on the preelection and semi - annual statements forthe 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A Type or print in ink. SCHEDULE A — mounts may Ue rounue° one Contributions ry Received Statement covers period to Whole dollars. CALIFORNIA 1 FoRm from pC"f SEE INSTRUCTIONS ON REVERSE throug +✓+' ZM Page _�__ of NAME OF FILER I.D. NUMBER H�•� 6 DATE STREET A FULL NAME, STREET ADDR SAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION R ZIP RECEIVED IT ALSO ENTER I,D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND ❑ COM ❑ OTH ❑ PTY C ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND [I 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.) . $ 9� ....... .. ..... TOTAL $ -I -7ql . FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (86612753772) '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 Instructions for Schedule A Monetary Contributions Received Report monetary contributions (except loans) received during the reporting period on Schedule A. Also report on Schedule A if a contributor forgives a loan for you or a third party pays a loan for you. 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 nonmonetary contributions and loans when reporting the cumulative amount. Contributions totaling less than $100 received from a single contributor during a calendar year are reported as a lump sum on Line 2 of the Schedule A Summary. *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. (See the FPPC Campaign Disclosure Manuals for candidates and ballot 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 contributionsthroug.,i employee payroll deductions or membership dues. 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 ccmmittees, other candidates' committees. (State committees should use PTY or SCC whey. appropriate.) OTH -- business entities and other contributors. PTY -- contributions from political parties (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 employer. If the contributor is self - employed, provide the name of his or her business. If the contributor is not empoyed, 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 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 subject to state contribution limits (or if required by local 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: Referto the FPPC Campaign Disclosure Manual for yourtype of committee for important information about aggregating monetary and nonmonetary contributions, recordkeeping, prohibitions on cash contributions, returning contributions, and more. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A (Continuation Sheet) Statement covers period Catifomi orm 6 Montary Contributions Received from 10/1/08 Page of Name of filer: Dan Carpenter through 10/18/08 C.D. dumber: 1306 20 Date Name and address Code Occupation & Emr)loyer $ Period $ YTD $ Election 10/06/08 Dye, Kevin; , San Luis Obispo, Ind Insurance Agent, Self 100 100 100 CA 93401 10/06/08 Hitchcock, Floyd; , San Luis Ind Hotel Owner, Self 100 100 100 Obispo. CA 93401 10/14/08 Applegarth, Al; , San Luis Obispo, Ind OD, Self 100 100 100 CA 93405 10/20/08 Keene, Worth & Adell; 10/14/08 Barasch, Steve; San Luis Obispo, Ind Arch /Real Estate, Self 150 150 150 CA 93401 10/06/08 Bjerre, David; San Luis Ind Real Estate Agent, Self 200 200 200 Obispo. CA 93401 10/06/08 Home Builders Assn.., ; Oth 200 200 200 San Luis Obispo. CA 93401 10/14/08 Sympra Energy, ; San Oth Energy Co, 200 200 200 Dieao. CA 92101 10/20/08 Lincoln Club, ; , Pismo Beach, Oth 200 200 200 CA 93449 Subtotal ($ Period) /� Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER 4. r Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from Or, through Page _-L of [L I.D. NUMBER L i CODES: If one of the following codes accurately describes the the payment, you may enter code. Otherwise, describe the payment. CMP CNS campaign paraphernalia /misc. MBR member communications RAID radio airtime and production costs campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC FIL civic donations candidate filing /ballot fees PET petition circulating TEL t.v. or cable airtime and production costs FND fundraising events PHO POL phone banks polling and survey research TRC TRS candidate travel, lodging, and meals staff/spouse travel, lodging, and meals PC independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG Lrr legal defense PRO professional services (legal, accounting) VOT voter registration 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) 2 VV ( C 4? )- MLIV� 27c•zf f 7:5-, o v * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary C 1. Itemized payments made this period. (Include all Schedule E subtotals.) ....-.-......,.. .....................................,.,..,.,,.,.......,.,...;, ,,....................- ........ I• AV 2. Unitemized payments made this period of under $100 i` 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ................................................ ............................... S ~` 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ................ TOTAL $ ;? 2, FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK -FPPC (86612753772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from through SCHEDULE E (CONT.) Page of I.D. NUMBER 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 MD 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 VVEB information technology costs (internet, e-mail) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)