(u nk w 1 - city of beverly hills · 2020. 1. 1. · enter the net here and on the summary page,...

Recipient Committee Date Stamp

Campaign StatementCover Page(Government Code Sections 84200-84216.5)

Statement covers period Date of election if applicable: t

(Month, Day, Year)

________________

from 01/01/2020

SEEINSTRUCTIONSONREVERSE through 01/18/2020 03/05/2020

1. Type of Recipient Committee: AU Committees - Compete Parts 1,2,3, and 4. 2. Type of Statement:

[] Officeholder, Candidate Controlled Committee fl Primarily Formed Ballot Measure Preelection Statement Quarterly Statemento State Candidate Election Committee Committee [J Semi-annual Statement fl Special Odd-Year Reporto Recall Q Controlled fl Termination Statement Supplemental Preelection(AIsoCompate Part 5) Q Sponsored (Also file a Form 410 Termination) Statement -Attach Form 495

General Purpose Committee U Amendment (Explain below)

o Sponsored U Primarily Formed Candidate!

o Small Contributor Committee Officeholder Committee

o Political Party!Central Committee

3. Committee Information ID. NUMBER Treasurer(s)1420822

COMMIHEE NAME (OR CANDIDATES NAME IF NO COMMIHEE) NAME OF TREASURERLori Greene Gordon-Beverly Hills City Council 2020 David Gould

MAILING ADDRESS

249 5. Ocean Blvd. Ste 685

STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE9663 Santa Monica Blvd. Ste. 1265 Long Beach CA 90802 (213)489—4792

CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY

Beverly Hills CA 90210 (213)429—4792 Ingrid Orellana

MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR RO. BOX MAILING ADDRESS

249 5. Ocean Blvd. Ste. 685 249 5. Ocean Blvd. Ste. 685

CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE

Long Beach CA 90802 Long Beach CA 90802 (213)489—4792

OPTIONAL. FAX / E-MJL ADDRESS OPTIONAL: FAX I E-MAIL ADDRESS(213)489—4818 / votelori2020gixtail.com

4. VerIficationI have used all reasonable diligence in preparing and reviewing this statementand to the best of my knowledge the information containein and in the attached schedules is true and complete. I certifyunder penalty of penury under the laws of the State of Califomia that the foregoing is true and correct

— — - o —

Executed( Date /} —

1\ l.tcjiaaze otTrAatTreaarer

Executed on 1 OW By (U Nk ALDate CaiddateatØ46aaij Ruponentor ResporeNe OMcerof Sponsor

Executed on ByDate SiattreofConfroBr Officeholder, Cactdate, State Measre Proponent

Executed on BySigiattreofContiollwej Otticehokier, Caiddate, State Meaare Proponent

FP PC Form 480 (Janf2Ol 6)

FPPC Advice: [email protected] (86675.3772)www.tppc.ca.gov

of 12

For Official Use Only

Date

Recipient CommitteeCampaign StatementCover Page — Part 2

of 12

5. Officeholder or Candidate Controlled Committee

NAME OF OFFICEHOLDER OR CANDIDATE

6. Primarily Formed Ballot Measure Committee

NAME OF BALLOT MEASURE

tori Greene Gordon

OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)

City Council Member Beverly Hills: City of Beverly Hills

RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP

9663 Santa Monica Blvd. Ste. 1265 Beverly Hills CA 90210

BALLOT NO. OR LEHER JURISDICTION LI SUPPORT

[1 OPPOSE

Identify the controlling officeholder, candidate, or state measure proponent, if any.

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

Related Committees Not Included in this Statement: Listany committeesnot included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.

COMMIHEE NAME I.D. NUMBER

NAME OF TREASURER CONTROLLED COMMITTEE?

LI YES LI NO

COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODEIPHONE

COMMITTEE NAME ID. NUMBER

NAME OF TREASURER CONTROLLED COMMITTEE?

LI YES LI NO

COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODEIPHONE

FPPC Form 460 (Jan12016)

FPPC Advice: advicefppc.ca.gov (86612754772)www.fppc.ca.gov

7.

OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY

Primarily Formed CandidatelOfficeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee Is primarily formed.

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDLI SUPPORT

LI OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDLI SUPPORT

LI OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD LI SUPPORT

LI OPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD LI SUPPORT

LI OPPOSE

Attach continuation sheets if necessary

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Campaign Disclosure StatementSummary Page

SEE INSTRUCTIONS ON REVERSE

Expenditures Made6. Payments Made Schedule E, line 4

7. Loans Made Schedule H, line 3

8. SUBTOTALCASH PAYMENTS Addlines6+7

9. Accrued Expenses (Unpaid Bills) Schedule t line 3

10. Nonmonetary Adjustment Schedule C, line3

11. TOTALEXPENDITURES MADE Add lines8+9+ 70

Current Cash Statement12. Beginning Cash Balance PreviousSummanjPage, line 16

13. Cash Receipts Column A, line 3 above

14. Miscellaneous Increases to Cash Schedulel,line4

15. Cash Payments ColumnA,line8above

16. ENDING CASH BALANCE Add lines 12 + 73 + 14, then subtract line 15

If this is a termination statement, line 16 must be zero.

Cash Equivalents and Outstanding Debts18. Cash Equivalents See instructions on reverse

19. Outstanding Debts Addline2+LineginColumnBabove

Amounts may be roundedto whole dollars.

Statement covers period

from 01/01/2020

through 01/18/2020 of 12

NAME OF FILER CD. NUMBER

Lan Greene Gordon-Beverly Fulls City Council 2020 1420822

Column A Column B Calendar Year Summary for CandidatesContributions Received TOTALThIS PERIOD CALENDARYEAR(FROMATTACHEDSCHED4]LES) ToTLToDATe Running in Both the State Primary and

General Elections1. Monetary Contributions ScheduleA, line 3 $ 2, 950.00 $ 2,950.00

1/1 through 6/30 7/1 to Date2. Loans Received ScheduleB,line3 5,000.00 20,550.00

3. SUBTOTALCASHCONTRIBUTIONS Addlinesl+2 $ 7,950.00 $ 23,600.00 20. ContributionsReceived $ $

4. Nonmonetary Contributions Schedule C, line 3 0.00 0.0021. Expenditures

5. TOTALCONTRIBUTIONS RECEIVED Addlines3+4 $ 7,950.00 $ 23,600.00 Made $ $

$ 15,852.26 $ 15,852.26

0.00 0.00

$ 15,852.26 $ 15,852.26

—3,378.36 0.00

0.00 0.00

$ 12,473.90 $ 15,852.26

$ 10,669.28

7,950.00

0.00

15, 852.26

$ 2,767,02

17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0.00

To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).

Expenditure Limit Summary for StateCandidates

22. Cumulative Expenditures Made*(IfSubjectto Voluntary Expenditure umit)

Date of Election Total to Date(mm/ddlyy)

I I $

______

I I $

______

Amounts in this section may be different from amountsreported in Column B.

FPPC Form 460 (Jan12016)

FPPC Advice: advicefppc.ca.gov (8661275-3772)www.fppc.ca.gov

$ 0.00

$ 20,650.00

www.netflle.com

NAME OF FILER ID. NUMBER

Lori Greene Gordon-Beverly Hills City Council 2020 1420822

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR NTRIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETO DATE PER ELECTION

DATEhr COMMIUEE ALSO ENTER CD, NUMBER) *

OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATERECEIVED CODE (IF SELF.EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)

OF BUSINESS)

01/02/2020 Eliot Finkel jlND Investment Adviser 450.00 450.00 P2020 $450.00110 North Maple Drive

COM Eliot Finkel InvestmentBeverly Hills, CA 90210 Counsel Received through inte ediary

U erundraieing Connecti is

E PTY 2821 0 St., Ste. 120Sacramento, CA 95816

SCC

01/05/2020 Asif Satchu jIND CEO 450.00 450.00 P2020 $450.001154 Tower Road flC0M MRCBeverly Hills, CA 90210 Received through into ediary:

L_J eFundraising Connecti isPlY 2831 0 St., Ste. 120

LI SCCSacramento, CA 95816

01/07/2020 Rochelle Maize jlND Real Estate Wealth Adviso 450.00 450.00514 N. Alta Dr. COM NourmandBeverly Hills, CA 90210 Received through inte ediary:.....0TH erundraising Connecti

E PlY 2831 0 St. Ste. 120Sacramento, CA 90816

LI 5CC01/11/2020 Rose Cheung JlND Bus Executive 450.00 450.00

1545 Carla Ridge Multi PropertiesBeverly Hills, CA 90210 Received through into ediary:

LI 0TH etundraising Connecti is

E] o-ry 2831 G St., Ste. 120Sacramento, CA 95816

LI 5CC01/11/2020 Stave Wong jlND Retired 450.00 450.00

1545 Carla Ridge RetiredBeverly Hills, CA 90210 COM

Received through inte .:ediary:LI 0TH eruodraising Connecti is

LI OTV 2831 G St., Ste. 120Sacramento, CA 95816

LI SCC

SUSTOTAL$ 2 250 001

Schedule A Summary1. Amount received this period — itemized monetary contributions.

(Include all Schedule A subtotals.) $ 2, 950.00

2. Amount received this period — unitemized monetary contributions of less than $100 $ 0.00

3. Total monetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 2,950.00

Schedule AMonetary Contributions Received




from 01/01/2020

through 01/18/2020 of 12

*ContribUtor Codes

IND— IndividualCOM — Recipient Committee

(other than PlY or SCC)0TH — Other (e.g., business entity)Ply—Political PartySCC — Small Contributor Committee

FPPC Form 460 fJan12016)FPPC Advice: advicefppc.ca.gov (8661275-3772)

www.fppc.ca.govwww.netfile.com

NAMEOFFILER ID.NUMBER


DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTORIF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION

9FCOMMITTSE.ALSOENTERID NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATERECEIVED CODE *

(IF SELF-EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED)OF BUSINESS)

01/13/2020 Marc Teren lND CEO 250.00 250.00213 South Reeves Drive Divy, Inc.Beverly Hills, CA 90212 LICOM

Received through inte mediary:LI 0TH eFundraising Connecti Os

LI pj-y 2831 G St., Ste. 120Sacramento, CA 95816

LI SCC

01/16/2020 Gavin Polone FJIND Film producer 450.00 450.001975 Carla Ridge

LICOMGavin Polone

Beverly Hills, CA 90210 Received through inte mediary:LI 0TH eFuodzaising Cormecti Os

LI Ply 2831 0 St., Ste. 120Sacramento, CA 95816

LI SCC

LI IND

LI COM

LI 0TH

LI PlYLI 5CC

LI ND

LI COM

LI 0TH

LI PTYLI 5CC

LI ND

LI COM

LI 0TH

LIPTYLI 5CC

FPPC Form 460 (JanI2016)FPPC Advice: advicefppc.ca.gov (8661275-3772)

www.fppc.ca.gov

Monetary Contributions Received Amounts may be roundedto whole dollars.

Schedule A (Continuation Sheet) SCHEDULEA (CONT.)


frnm 01/01/2020

through 01/18/2020 Page of 12

eContributor Codes

ND— Individual

COM - Recipient Committee

(other than PlY or SCC)0TH — Other (e.g., business entity)

PlY — Political Party

5CC — Small Contributor Committee

SUBTOTALS 700.001

www.netfile.com

SCHEDULE B - PART 1


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.) NET $Enter the net here and on the Summary Page, Column A, Line 2.

FPPC Form 460 (Jan12016)FPPC Advice: [email protected] (866/275-3772)

www.fppc.ca.gov

Schedule B — Part ILoans Received


NAME OF FILER

Lori Greene Gordon-Beverly Hills City Council 2020

FULL NAME, STREET ADDRESS AND ZIP CODEOF LENDER

(IF COMMIUEE, ALSO ENTER tO, NUMBER)


from 01/01/2020

through 01/18/2020

r”L;iii

of 12

ID. NUMBER

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

(IF SELF.EMPLOYED, ENTERNAME OF BUSINESS)

Lori Greene Gordon Conmerical Real Estate9663 Santa Monica Blvd. Ste. 1265 OwnerBeverly Hills, CA 90210 Lori Greene Gordon

“JXJ IND COM t: 0TH fl Pm’ f SCC

Lori Greene Gordon9663 Santa Monica Blvd. Ste. 1265Beverly Hills, CA 90210

t] IND Q COM Q 0TH Q Pm’ Q SCC

1420822

Lori Greene Gordon9663 Santa Monica Blvd. Ste. 1265Beverly Hills, CA 90210

t1] IND Q COM Q 0TH Q Pm’ Q SCC

(Enter(e) onSchedule E, line 3)

5,000.00

forgiven or paid by another party also must be reported on Schedule A.If required.

0.00

tContributor Codes

ND— IndividualCOM — Recipient Committee

(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySCC — Small Contributor Committee5.000. 00

(May be a negauve number)

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SCHEDULE B - PART 1 (CONTJ

Schedule B — Part I (Continuation Sheet)Loans Received


NAME OF FILER


FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER

OF LENDER OCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER

(iF COMMITTEE. ALSO ENTER CD. NUMBER> NAME OF BUSINESS)

Lan Greene Gordon Commenical Real Estate9663 Sante Monica Blvd. Ste. 1265 OwnerBeverly Hills, CA 90210 Lori Greene Gordon( LOAN)

t] IND fl COM fl 0Th D Pm’ D SCC


I.D. NUMBER

tQ IND COM jJ 0TH Q PTY Q SCC

t0 IND Q COM Q 0TH Q PTY fl SCC

Q IND Q COM Q 0TH Q Pm’ Q SCC

FPPC Form 460 (Jan12016)FPPC Advice: advicetfppc.ca.gov (8661275-3772)

www.fppc.ca.gov


from 01/01/2020

through 01/18/2020 of 12

1420822

forgiven or paid by another party also must be reported on Schedule A.If required.

tContnbutor Codes

IND — IndividualCOM — Recipient Committee

(other than PTY or SCC)0TH — Other (e.g., business entity)PTY — Political PartySCC — Small Contributor Committee

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Schedule E Summary


1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 15, 852.26

2. Unitemized payments made this period of under $100 $ 0.00

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ 0.00

4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ 15,852.26

FPPC Form 460 (Jan!2016)FPPC Toll-Free Helpline: 8661ASK-FPPC (8661275-3772)

www.fppc.ca.gov

Schedule EPayments Made



from 01/01/2020

through 01/18/2020 of 12



CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs

CNS campaign consultants MTG meetings and appearances RFD returned contributionsCTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers’ salariesCVC civic donations PET petition circulating TEL t.v. or cable airtime and production costsFIL candidate filing/ballot fees P1-0 phone banks TRC candidate travel, lodging, and mealsEND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mealslF’D independent expenditure supporting/opposing others (explain)* P05 postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literature and mailings PRT print ads ‘NEB information technology costs (internet, e-mail)

NAME AND ADDRESS OF PAYEE(tF COMMFTTEE.ALSO ENTER ID, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

GOULD & ORELLANA, LLC PRO 300.00249 E. Ocean Blvd., Ste.685Long Beach, CA 90802

Dan Siwulec Communications Marketing, Inc. LIT 4,981.1215135 W. Sunset Blvd., Ste. 240Pacific Palisades, CA 90272

eFundraising Connections CMP Credit Card Processing Fee 20.752831 G St., Ste. 120Sacramento, CA 95816

Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 5,301.87

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FPPC Form 460 (Jan12016)FPPC Toll-Free Helpline: 866IASK-FPPC (86612753772)

www.fppc.ca.gov

Schedule E(Continuation Sheet)Payments Made



SCHEDULE E (CONT.)Statement covers period

from 01/01/2020 4L I

through 01/18/2020 of 12

NAME OF FILER CD. NUMBER


CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.avF campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costsCNS campaign consultants MTG meetings and appearances RFD returned contributionsCTB contribution (explain nonmonetary) OFC office expenses SAL campaign workers salariesCVC civic donations FET petition circulating TEL tv. or cable airtime and production costsFIL candidate filing/ballot fees P1-0 phone banks TRC candidate travel, lodging, and mealsFND fundraising events POt. polling and survey research TRS staff/spouse travel, lodging, and mealsND independent expenditure supporting/opposing others fexplain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literature and mailings PRt print ads WEB information technology costs (internet, e-mail)

(IF RN R)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

American Express CMP Credit Card Payment 3,378.36P0 Box 0001Los Angeles, CA 90096-8000

Simon’s Catering FND Fundraising Event Catering 4,780.00226 S. Carson Rd.Beverly Hills, CA 90211

eFundraising Connections CMP Credit Card Processing Fee 20.752831 G St., Ste. 120Sacramento, CA 95816

eFundraising Connections CM? Credit Card Processing Fee 20.752831 G St., Ste. 120Sacramento, CA 95816

Educate Your Vote (ID# 1345655) Slate Mailer Payment 420.0016633 Ventura Blvd., Ste. 1008Encino, CA 91436

Payments that are contributions or independent expenditures must also be summarized on ScheduleD. SUBTOTAL $ 8, 619.86

www.neffile.com

FPPC Form 460 (Janl2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (8661275-3772)

www.fppc.ca.gov

Schedule E SCHEDULE E (CONT.)

(Continuation Sheet) Amounts may be roundedStatement covers period ij •.jieY [jij

Payments Made towholedollars.from 01/01/2020 II

SEEINSTRUCTIONSONREVERSEthrough 01/18/2020 of 12

NAME OF FILER I.D.NUMBER


CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.OvP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costsCNS campaign consultants MTG meetings and appearances RFD returned contributionsCTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers’ salariesCVC civic donations FEt petition circulating TEL t.v. or cable airtime and production costsFIL candidate filing/ballot fees P1-0 phone banks TRC candidate travel, lodging, and mealsFND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mealsIND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literature and mailings PRt print ads VvEB information technology costs (internet, e-mail)

(lFcoMMrrrEE,ALS0ENTERID NUMBER)CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

eFundraising Connections CMP Credit Card Processing Fee 53.252831 G SC., Ste. 120Sacramento, CA 95816

COGS South Signs LIT 1,220.283309 S. Main St.Santa Ana, CA 92707

Budget Watchdogs fID# 1345115) Slate Mailer Payment 657.0022410 Hawthorne Blvd., Suite 5Torrance, CA 90505

Payments that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL $ 1, 930 .53

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SCHEDULE F

Schedule FAccrued Expenses (Unpaid Bills)

NAME OF FILER

OwCNSCTBCvCFILFNDNJLEGLir

(a) fb) (c) (d)NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING

(IF COMMITTEE. ALSO ENTER ID NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSEOF THIS PERIOD (ALSO REPORT ONE) OF THIS PERIOD

American Express CM? Credit Card 3,378.36 0.00 3,378.36 0.00PC Box 0001 Payment

Los Angeles, CA 90096-8000

* Payments that are contributions or independent expenditures must also beSUBTOTALS $ 3, 378 .3 6$ 0 .00 $ 3, 378 . 36$ 0 00summarized on Schedule 0.

Schedule F Summary1. 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.) INCURRED TOTALS $ 0.00

2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments onaccrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) PAID TOTALS $ 3,378.36

3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here andon the Summary Page Column A, Line 9.) NET $ 3,378.36

May be a negative number

FPPC Form 460 (Jan12016)FPPC Toll-Free Helpline: 866!ASK-FPPC (8661275-3772)

www.fppc.ca.gov




CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.campaign paraphernalia/misc.campaign consultantscontribution (explain nonmonetary)cMc donationscandidate filing/ballot feesfundraising eventsindependent expenditure supporting/opposing others (explain)*legal defensecampaign literature and mailings

MBR

OFCPETPoPOLPOSPPOPRT

member communicationsmeetings and appearancesoffice expensespetition circulatingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print ads

RADRFDSALTELTRCTRSTSFvolWEB

radio airtime and production costsretumed contributionscampaign workers’ salariestv. or cable airtime and production costscandidate travel, lodging, and mealsstaff/spouse travel, lodging, and mealstransfer between committees of the same candidate/sponsorvoter registrationinformation technology costs (internet, e-mail)

wwv.cnetflle.com

Schedule G

___________________ ______________________________________

SCHEDULEG

Payments Made by an Agent or Independent Amounts may be rounded Statement covers period

Contractor (on Behalf of This Committee)to whole dollars. from 01/01/2020 [ji]

SEEINSTRUCTIONSONREVERSEthrough 01/18/2020

of 12



NAME OF AGENT OR INDEPENDENT CONTRACTOR

Dan Siwulec Communications Marketing, Inc.

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.QvF campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costsCNS campaign consultants MTG meetings and appearances RFD returned contributionsCTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers’ salariesCVC civic donations PET petition circulating TEL tv. or cable airtime and production costsFIL candidate filing/ballot fees P1-0 phone banks TRC candidate travel, lodging, and mealsFND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and mealsIF’JJ independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsorLEG legal defense PRO professional services (legal, accounting) VOT voter registrationLIT campaign literature and mailings P print ads WEB information technology costs (internet, e-mail)

Payments that are contributions or independent expenditures must also be summarized on ScheduleD.

NAMEAND ADDRESS OF PA’EE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

US Postal Service POS 1,810.967001 S. Central Ave.Los Angeles, CA 90052

Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 1,810.96

* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent orindependent contractor as reported on Schedule E.

FPPC Form 460 (Jan/2016)FPPC Advice: advicefppc.ca.gov (866/275-3772)

www.fppc.ca.govwww.netflle.com

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