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Home My WebLink AboutJan Marx - Form 460 - 09-25-16 to 10-22-16Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 9-25— 2016 through 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. ❑x Officeholder, Candidate Controlled Committ® Q State Candidate Election Committee Recall (Also Complete Part 5) ❑ General Purpose Committee O Sponsored O Small Contributor Committee 0 Political Partv/Central Committee 3. Committee Information ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Jan Marx for Mayor 2016 Officeholder Committee (Also Complete Part 7) LD NUMBER STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE San Luis Obispo CA 93405 ( MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Same Ci —1y S TA'I E ZIP CODE AREA CODE!—PHONE OPTIONAL: FAX/ E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my certify under penalty oferju er th Ics of the State of California that the foregoing is true and Executed on �� it __(o By tiaIe Executed ons �' By Executed on LIald By Date of election if appli (Month, Day, Year) Date Stamp RECEIVED OCT 24 2W LO CITY CLERK ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) Gregory Ty Griffin I Page I of t -'k ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER MAILING ADDRESS CITY San Luis Obispo STATE CA ZIP CODE 93401 AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Jan Marx MAILING ADDRESS San Luis Obispo CA 93405 CITY STATE ZIP CODE AREACODE/PHONE QPnONLA-1 FAX r F -MALI ArHnRFSR Executed on By usm Signature or>,.onvoliing Officeholder, Candidate, State measure rroponen[ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) Recipient Committee Campaign Statement Cover Page — Part 2 5 Of TeeheIger er Gandisate G8Rtreiled Geri mute NAME OF OFFICEHOLDER OR CANDIDATE Jan Marx OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) Mayor of San Luis Obispo RESIDENIIAUBUSINESSADDRESS (NO.ANDSTREET) CITY STATE ZIP San Luis Obispo CA 93405 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 NAME OF TREASURER COMMITTEE ADDRESS CITY COMMITTEE NAME NAME OF TREASURER (JMMITTEEADDRE CITY LD NUMBER CONTROLLED COMMIT ❑ YES ❑ NO I.D. NUMBER CONTROLLED COMMIT ❑ YES ❑ NO STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page '21- of C -s/ NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I ,JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnamesof offrcehoider(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 Attach continuatio i sheets ifnecessary ❑ OPPOSE FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA SEE INSTRUCTIONS ON REVERSE NAME OF FILER JAN MARX FOR MAYOR 2016 Contributions Received Expenditures Made 6. Payments Made.................................._:............................ Schedule E, Line 4 $ o 7. Loans Made..-..... .......... .....::..................I......................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ..... ......... :........................ Schedule F Line 3 Ci a 4 10. Nonmonetary Adjustment . .... .......... ................. :.......... .... ..... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................. Add Lines 8+ 9+ 10 $ C1 Current Cash Statement p 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ c D 13. Cash Receipts .. ....................................... ........ Column A, Line 3 above L1 • l� 14. Miscellaneous Increases to Cash ..... .........:................... Schedule 1, Line 4 15. Cash Payments ... ......................... Column A, Line 8 above -FJ 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ Z 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 on reverse $ /} 19. Outstanding Debts. ............................. Add Line 2 + Line 9 in Column B above $ Z from 9262Q1� Through 10-22-2016 Page of y ID number 1382209 Column 9 CALENDAR YEAR AL TO D $ t� 2 00 0 $ 04 3 o $ Zl,3+�- $ � . TZ, (11:� $ 6.tJ$'6 {., 013 100 $ (oIj g To calculate Column B, add amounts in Column Ato 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). 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 Subject to 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Column A TOTAL THIS PERIOD 1. Monetary Contributions................................................... Schedule A, Line ;CROTIAC,tlEJ;S £DULE3) $ ` 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS..... ...................:....- Add Lines 1 + 2 $ 4. Nonmonetary Contributions ...... ...:...... ....... ............. ......, Schedule C, Lane 3 5. TOTAL CONTRIBUTIONS RECEIVED...................................Add Lines 3+4 $ Expenditures Made 6. Payments Made.................................._:............................ Schedule E, Line 4 $ o 7. Loans Made..-..... .......... .....::..................I......................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) ..... ......... :........................ Schedule F Line 3 Ci a 4 10. Nonmonetary Adjustment . .... .......... ................. :.......... .... ..... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................. Add Lines 8+ 9+ 10 $ C1 Current Cash Statement p 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ c D 13. Cash Receipts .. ....................................... ........ Column A, Line 3 above L1 • l� 14. Miscellaneous Increases to Cash ..... .........:................... Schedule 1, Line 4 15. Cash Payments ... ......................... Column A, Line 8 above -FJ 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ Z 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 on reverse $ /} 19. Outstanding Debts. ............................. Add Line 2 + Line 9 in Column B above $ Z from 9262Q1� Through 10-22-2016 Page of y ID number 1382209 Column 9 CALENDAR YEAR AL TO D $ t� 2 00 0 $ 04 3 o $ Zl,3+�- $ � . TZ, (11:� $ 6.tJ$'6 {., 013 100 $ (oIj g To calculate Column B, add amounts in Column Ato 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). 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 Subject to 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A "' wnuia uv°ars. Statement covers period Monetary Contributions Received a - � , IF 0-42 from 9-25-2016 . I' through 10-22-2016 Page of of SEE INSTRUCTIONS ON REVERSE _...._._...___......_ ........... NAME OF FILER JAN MARX FOR MAYOR 2016 I 1 D. NUMBER 1382209 1 I DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) SEE ATTACHMENT ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC i ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ®SCC IND COM ❑ 0TH ❑ PTY ❑ SCG LJ IND ❑ COM ❑ OTH ❑ PTY SCC SUBTOTAL $ Schedule A Sllimmary 1. Amount received this period - itemized monetary contributions. ��3 IND -Individual COM - Recipient Committee (Include all Schedule A subtotals.)........................................................................................."""""""' .$ (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 ---------------------------$ Zoo 0TH— Other (e.g., business entity) PTY — Political Party 3. Total monetary contributions received this period. c.) q --I d SCC — Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ � 7J a FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Statement covers period California Form 460 Monetary Contributions Received from 9/25/16 Page S of LY Name of filer: Jan Marx for Mayor 2016 through 10/22/16 I.D. Number: 1382209 Date Name and address Code Occupation & Employer $ Period $ YTD $ Election 10/17 Al Lipper Templeton, CA 93460 OTH 1 3001 300 300 Subtotal ($ Period): 3 Schedule A (Continuation Sheet) Statement covers period California Form 460 Monetary Contributions Received from 9/25/16 Page I of —17,- Name YName of filer: Jan Marx for Mayor 2016 through 10/22/16 I.D. Number: 1382209 Date Name and address Code Occupation & Employer S YTD Election 9/29 John Ashbaugh Coto de Caza, CA 92679 IND COO, Coastal Community Builders 99 99 99 Subtotal ($ Period): _Z Z 3 Ar—..-- — L— -.—A SCHFr)lll F R - PART 1 e e u e t3 — a to whoe dollars. Statement coversP eriodfom— A ^t% Loans Received.. CALIFORNIA 9-25-2016 ( v SEE INSTRUCTIONS ON REVERSE Through 10-22-2016 Page of I.D. NUMBER 1382209 NAME OF FILER JAN MARX FOR MAYOR 2016 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER (a� OUTSTANDING (") AMOUNT (c) td) AMOUNT PAICii OUTSTANDING (e) INTEREST (T) ORIGINAL (� CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I D NUMBER) OCCUPATION AND BALANCE BEGINNING THIS RECEIVED THIS OR FORGIVEN BALANCE AT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD * PERIOD PERIOD LOAN TO DATE Jan Marx Mayor of San Luis ❑ PAID CALENDAR YEAR Obispo $ o San Luis Obispo CA 93405 $ 2.000.00 % RATE $ 2000.00: ❑ FORGIVEN PER ELECTION" 2-2-2016 $ 2000.00 $ O $ 0 $ t E] IND ❑COM El OTH ❑PTY ❑ SCC DATED E DATE INCURRED ❑ PAID CALENDAR YEAR u $ % S $ FORGIVEN RATE PER ELECTION ** t IND COM OTH PTY SCC DATE DUE ❑ ❑ ❑ ❑ ❑ 4 PAID DATE INCURRED CALENDAR YEAR U_ $ % S $ FORGIVEN RATE PER £LECTION - t IND COM OTH PTY SCC $ $ $ $ g DATE INCURRED ❑ ❑ ❑ ❑ ❑ DATE DUE Schedule B -Si ni m a �a. •[Erner (e] on eQWe c- une s 1. Loans received this period ..................................................... _........ •.... ....... ....................... $ O (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period................................................................:.....:.::..:..::..:...:..............-...$ O (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 $ O Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. tContributor Codes J IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE JAN MARX FOR MAYOR 2016 Amounts may be rounded to whole dollars. SCHEDULE E covers period from 9-25-201 6 through 10-22-2016 Page _L of iy I.D. NUMBER 1382209 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 PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) SESLOC FEDERAL CREDIT UNION 3807 Broad St San Luis Obispo CA 93401 1010 US Post Office 893 Marsh Street San Luis Obispo CA 93401 Createsend.com Suite 11 Information Age Park, Ennis County Clare, Ireland CODE OR DESCRIPTION OF PAYMENT VISA (see below for charges) 1015 POS 134.00 WEB 155.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)...... 2. Unitemized payments made this period of under $100........................................................................................................ 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)........................................... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)...... AMOUNT PAID 728.00 SUBTOTAL$ ................ $ 33 1,5_ .............. I............... $ Z TOTAL $ 3 3 41 .� FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 9-25-201 6 through 10-22-2016 JAN MARX FOR MAYOR 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment SCHEDULE E (CONT.) Page—i— of l2,-- I.D. I.D. NUMBER 1382209 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Luis Obispo County Chamber of Commerce 895 Monterey Street, San Luis Obispo CA 93401 1016 LIT 75.00 (Visa) SLO LIFE magazine 4251 S. Higuera Street Ste 800 San Luis Obispo CA PRT 500.00 (Visa) Staples Broad Street San Luis Obispo CA ?OFC 14.00 (Visa) Facebook 1601 Willow Rd, Menlo Park CA 94025 WEB 56.00 (Visa) SLO County Clerk Recorder Monterey Street, San Luis Obispo CA List of registered voters 60.00 (Visa) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460(Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www_ mr_ca_mv Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE JAN MARX FOR MAYOR 2016 Amounts may be rounded to whole dollars. (;UUL5: It one of the tollowing codes accurately describes the payment, you may enter the code. CMP campaign paraphernalia/mist. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)` OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I D NUMBER) San Luis Obispo County Chamber of Commerce 895 Monterey Street, San Luis Obispo CA 93401 US Post Office 893 Marsh Street San Luis Obispo CA 93401 SLO Journal Plus 654 Osos San Luis Obispo CA 93401 Stripe.com 185 Berry Street Suite 550, San Francisco CA 94107 CODE OR LIT 1016 Statement covers period 9-25-20.1 6 through 10-22-2016 SCHEDULE E (CONT.) Page E'0 of ( 2 I.D. NUMBER 1382209 RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. 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) DESCRIPTION OF PAYMENT 1011, 1012,1013 1014 donation web service AMOUNT PAID 5.00 7.00 CSr 0 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www_fnnr._ra_mv SCHEDULE F Schedule F Amounts may be rounded to whole dollars. Statement covers period Accrued Expenses (Unpaid Bills) from 9-225-22016 SEE INSTRUCTIONS ON REVERSE (a) OUTSTANDING (b) (c) AMOUNT PAID through 1 0-22-201 6 1 Page of V NAME OF FILER JAN MARX FOR MAYOR 2016 BALANCE BEGINNING AMOUNT INCURRED THIS PERIOD BALANCEAT CLOSE I.D. NUMBER DESCRIPTION OF PAYMENT WEB OF THIS PERIOD THIS PERIOD 28.00 28.00 (ALSO REPORT ON E) OF THIS PERIOD Createsend.com Suite 11 Information Age Park, Ennis County 13 Y2L 0°l 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 SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for �� Z 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 onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www_fnnc.ca_pnv (a) OUTSTANDING (b) (c) AMOUNT PAID (d) OUTSTANDING NAME AND ADDRESS OF CREDITOR CODE OR BALANCE BEGINNING AMOUNT INCURRED THIS PERIOD BALANCEAT CLOSE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT WEB OF THIS PERIOD THIS PERIOD 28.00 28.00 (ALSO REPORT ON E) OF THIS PERIOD Createsend.com Suite 11 Information Age Park, Ennis County 0 ?5.00 Clare, Ireland (charged to VISA but not yet paid) 0 404.00 Culver & Associates PRO 404.00 !404.00 American General Media RAD 450.00 450.00 450.00 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 �� Z 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 onthe Summary Page, Column A, Line 9.)................................................................................................................................................................................... NET $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www_fnnc.ca_pnv Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Amounts may be rounded to whole dollars. Statement covers period from 9-25-201 6 through 10—:2:2-146 SCHEDULE F (CONT.) Page 1 Z of 12- I D. NUMBER 1382209 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 CREDITOR (IF COMMITTEE, ALSO ENTER LD NUMBER) Poor Richard's Press 2226 Beebee Street San CODE OR I (a) OUTSTANDING (b) BALANCE BEGINNING AMOUNT INCURRED DESCRIPTION OF PAYMENT OF THIS PERIOD THIS PERIOD SUBTOTALS $ ;650.00 (c) AMOUNT PAID (d) OUTSTANDING THIS PERIOD BALANCEATCLOSE (ALSO REPORT ON E) OF THIS PERIOD i FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) wwwJppc.ca.gov