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Home My WebLink About2017 01-01 thru 06-30 Smith 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in Ink. Statement covers period Date of election if applicable: from j / / � 7 (Month, Day, Year) through r I �I(Z�, '0 j 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. [� Officeholder, Candidate Controlled Committee p State Candidate Election Committee ❑ Primarily Formed Ballot Measure Q Recall Committee Q Controlled {Also Complete Pert 5) Q Sponsored ❑ General Purpose Committee (Al- complete part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Compl&e Part 7) 3. Committee Information I I.D; (OR CANDIDATE'S NAME IF NO 2. Type of Statement: CITY CLE 17 JUL 20 PM 3: ❑ Preelection Statement Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER COVER PAGE �— of _ f For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 ur uvu AREA C(lnr nM= STATE ZIP CODE AREA CODE/PHONE NAME, F And TANT TREASURER, IF ANY CL C3 r �t r MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.Q. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS CITY STATE 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 t^ under penalty of perjury under the laws of the State of California that the foregoing is a attached schedules is true and complete. I certify Executed on V— �y Dale Executed on� 1S " Executed on Dale Executed on Date Mq)14 OffKWor Sponsor By otContropf Officetwlder, Candidate, State w;i; xe proponent By Sl9netwe of Con6olpng olficel,ader, Card date, Slate Measure poponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2763772) State of Cafifomla Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Cnntrnnprl t"nmmiffon NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Type or print in Ink. RESIDEN146UBUSINESS ADDRESS (NO.6ND STREET) CITY STATE ZIP r7r�a�n� PA �') 2" 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 I I.D. NUMBER NAME OF TREASURER I 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 I CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page of BALLOT NO. OR LETTER I JURISDICTION I ❑ 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 List names of officeholder(s) or candidates) 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/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (86612754772) State of Calffomla Summary Page SEE INSTRUCTIONS ON REVERSE 1. Monetary Contributions.... acmauleA,cmro 2 Loans Received ------------------ Schedule ALine o 4 NonmonetaryCnnihbuhona------------ ocheuumC, Line Type o,print in Ink. Amounts may be rounded mwhole dollars. ' SUMMARY PAGE Statement covers npnuu through a�- | Page __�_ of TOmoHIS PERIOD (FROM ATTACHED SCHEDULES) CALENDARYEAR TOTALTOmTE 6 $ * n $ 6. Payments Made ..................... —............ ...... .......... Schedule E, Line $ 7 Loans Made ..................... -----............. .......... Schedule uLine o 8. SUBTOTAL CASH PAYMENTS .......... ........... ........... Add Lines o+r $ 9. Accrued Expenses (Unpaid Bills) /) .............. .... .......... Schedule F,Line o 1CLNonmonatryAdjustment ... .......... ..... ............... .... Schedule C, Line 11.TOlAL EXPENDITURES MADE .......................... _Add Lines a+y+m $ Current Cash Statement 12.Beginning Cash Balance ..................... ' Previous Summary Page, Lmw/x $ 13iCash Receipts ........ ...... ...... ...... ................ Column A, LmeoemovL 14.NYisceUaneoua (nmreauma|oCeah—-------— Schedule 1,Line 4 ' 15iCash Payments ..................... ............. .............. Column A, Line aabove 16.ENDING CASH BALANCE .... ... Am/cmes,m+m+/4,then ummaoLme/s $ If this is a termination statement, cmm m must be zero. Cash Equivalents and Outstanding Debts 18. CoohEquivalents-------------. See instructions ooreverse $ To calculate Column B,add amounts mColumn Amthe corresponding amounts from Column anfyour lam report. Some amounts in Column xmay benegative figures that should be subtracted from previous period amounts. |fthis io the first report being filed for this calendar year, only carry over the amounts from Lineu2. 7. and 5(if MBER Running in Both the State Primary and General Elections III through 6/30 7/1 to Date 20. Contributions Received 21. Expenditures Made Candidates 22. Cumulative Expenditures Made- (tf Subject to Voluntary Expenditure Limit) Date of Election Total to Date | ' $ |�muuntsin this section may twdifferent from amounts reported in Column B, FPPC Formmm ('' pppCToll-pre� eH�HnmxueoouSx-FPPo Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) monetary ontribuilonS Keceived Amounts may ne rounded Statement covers period to whole dollars. ®� from through , - Z3 Z —Z Page of NAME OF FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF 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 (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN.1- DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC []IND ❑ COM []OTH ❑ PTY ❑ SCC SUBTOTAL$ 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 (Januaryl05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) _ Tuna nr nrint in inlr grHi=ni ii P R_ PORT 4 %AVu °sue 11- Q i L r Amounts may be rounded Statement covers period Lens Received to whole dollars. '� d from _ l` -" 1"®' 1 a - SEE INSTRUCTIONS ON REVERSE through __ _1'30 7 Page of ° NAME OF FILER I.D.NUMBEd�R7® FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE (b) AMOUNT (C) AMOUNT (dl (e) OUTSTANDING INTEREST 0 ORIGINAL (9) CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IPSELr-EMPLOYEO,ENTER NAME OF BUSINESS) RECEIVED THIS BEGINNING THIS PERIOD OR FORGIVEN BALANCEAT CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS PERIOD THIS PERIOD* R! PERIOD LOAN TO DATE j t � xi tit, 4PAID CALENDARYEAR L° RATE �y , ✓ r [s $ l $ ❑ FORGIVEN $ $ PER ELECTION** $ t ❑ COM ❑ OTH ❑ PTY ❑ SCC IND DATE DUE DATE INCURRED ❑ PAID _T CALENDARYEAR $ $o $ $ ❑ FORGIVEN PER ELECTION** RATE $❑ IND ❑ COM ❑ OTH ❑PTY ❑ SCC $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION'""" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ $ $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ 1'�"r w $ l $ 1. Loans received this period........................................................ (Total Column (b) plus unitemized loans of less than $100,) ....................................................... $ 6 2. Loans paid or forgiven this period......................................................................................................... $ _ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May beehegauvenurnber) ,cnrer,ei on SchedMe 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 "Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 11 FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772) qehpdl lip r. Type or print in ink. SCHEDULE Amounts may be rounded Nonmonetary Contributions Received to whole dollars. Statement covers period from 1 `7 through - 16 of Page of 3EE INSTRUCTIONS ON REVERSE qAME OF FILER 1.0, NUMBER ...... LL Z �, "7: I'V IF AN INDIVIDUAL, ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME, STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF FAIR MARKET DATE TO DATE CONTRIBUTOR OCCUPATION AND EMPLOYER DATE C G ZIP CODE OF CONTRIBUTOR ODE GOODS OR SERVICES CALENDAR YEAR '0 RECEIVED (IF SELF-EMPLOYED, ENTER (IF REQUIRED) ENTER I.D. NUMBER) (JAN 1 - DEC 31) (IF COMMITTEE, ALSO NAME Of BUSINESS) E]IND DCOM nOTH A/O E] PTY E]SCC E]IND [-]COM [JOTH E]PTY EISCC nIND ncom EJOTH El PTY FISCC F-11ND EICOM f-IOTH EIPTY EISCC 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 — uniternized 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 $ — 0— *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 (8661276-3772) Schedule D Summary of Expenditures Type or print In Ink. Supporfing/Opposing Other Amounts may be rounded Candidates, Measures and Committees to whole dollars. SEE INSTRUCTIONS ON REVERSE AIL 61IC14W66 Z21� L— DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, - I OR COMMITTEE 171 Support El support EI oppose TYPE OF PAYMENT Monetary Contribution Nonmonetary Contribution Independent Expenditure Monetary Contribution Nonmonetary Contribution Independent Expenditure Monetary Contribution n Nonmonetary Contribution E] Independent Expenditure ffaxff• 9�d Statement covers period 'juHt:Du D from '7 through Page of I.D.NUMBER CUMULATIVE TO DATE PER ELECTION AMOUNTTHIS CALENDAR YEAR TO DATE (JAN. I -DEC. 31) (IF REQUIRED) PERIOD Z777 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (include all Schedule D subtotals.) ............... ...... ............................. $ 2. Uniternized contributions and independent expenditures made this period of under $100 3. Total contributions and independent expenditures made this period. (Add Lines I and 2. Do not enter on the Summary Page.) ............ TOTAL $ FPPC Form 460 (Jan uary/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule E Type or print mink. ��m�� Amounts may be rounded Statement covers period~ �� mwhole dollars. | SEE INSTRUCTIONS owREVERSE NAME OF FILER CODES: Kone of the following codes accurately ~ �'c 0VIP campaign CNS campaign consultants CTE3 contribution (explain monom*ya?y)^ CvC civic donations ptL candidate fiUn0/ba||ot0awn FNo fundraising events INo independent expenditure muppomngmpposing others (explain)* LEG legal defense UT campaign literature and mailings NAME AND ADDRESS opPAYEE (IF COMMITTEE, ALSO ENTER 1.0.NUMBER) 0 0 M Yh L.J 1'/ the payment, you may enter the code. Otherwise, describe the payment MEIR member communications RAD radio airtime and production costs wm3 meetings and appearances RFD returned contributions "`^ office expenses SAL campaign workers' salaries PET petition circulating TEL t.v or cable airtime and production coow PmO phone banks TnC candidate trave!, muginU, and meals POL polling and survey research lRS staff/spouse travel, lodging, and meals poO pustage, delivery and messenger services TSF transfer between committees of the name pamuidotetponoor PRO professional services (bga|, accounting) vOr voter registration Pnr print ads vw5a information technology costs (|ntemet. e-mail) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID v/\� L�/ �� "�� | �� ^Paymnnts that are contributions orindependent expenditures must also besummarized nnSchedule D. SUBTOTAL* Schedule E Summary i.Itemized payments made this period. (include all Schedule Emubtota|s.)........................................ ...................................... —.�--.----.�—'. 2. Uniternized payments made this period of under $10}................................ .............. ---'-------...�'�.—'—..-----...�''--�--- 3.Total interest paid this period on loans. (Enter amount from Schedule 13.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 $ F1PPC Form460 Schedule I Miscellaneous Increases to Cash SEE INSTRUCTIONS ON NAME OFFILER DATE FULL NAME `-J AND ADDRESS OF SOURCE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 1- 1-/7 through DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Schedule I Summary 1. Itemized increases to cash this period . ................ 2. Uniternized 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.) ............................. .......... ...................... ............................ ..... TOTAL FPPC Form 460 (January/05) FPPC Toil -Free Helpline: 866/ASK-FPPC (8661275-3772)