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Home My WebLink About2021Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 1-1-21 through 6-30-21 Date of election if applicable: (Month, Day, Year) CI Date Stamp RECEIVED AUG 13 2021. -Y CLERKS DEPT. COVER PAGE For Official Use Only 1. Type of Recipient Committee: AU Committees — Complete Parts 1, 2, 3, and 4. Qfficeholder, Candidate Controlled Committee State Candidate Election Committee 0 Recall (Also Complete Part 5) ❑ eneral Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee ❑ Primarily Formed Ballot Measure ommittee Controlled Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement ▪ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Maryann Edwards for Temecula City Council STREET ADDRESS (NO P.O. BOX) 41000 Main Street CITY STATE ZIP CODE Temecula CA 92589 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE 951-694-6416 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS maryann.edwards@temeculaca.gov Treasurer(s) NAME OF TREASURER Tom Edwards MAILING ADDRESS 41000 Main St. CITY Temecula STATE ZIP CODE CA 92589 AREA CODE/PHONE 951-694-6416 NAME OF ASSISTANT TREASURER, IF ANY MAILING 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 to the best of my knowledge the infor certify under penalty of perjury under the laws of the State of California that the foregoing is trJ gild correct. Executed on June 27, 2021 Date Executed on June 27, 2021 Date ofi dontained h Si re o Treasurer -rAss ,i= t i reasurer i in the attached schedules is true and complete. I By Signature of Co ing Officer er, Candidate State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Maryann Edwards OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Temecula City Council, District 3 RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP 41000 Main Street Temecula CA 92589 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER 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 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions 2. Loans Received 3. 4. 5. Schedule A, Line 3 $ Schedule B, Line 3 SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 $ Nonmonetary Contributions Schedule C, Line 3 TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 + 4 $ Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 0 0 0 Statement covers period from 1-1-21 through 6-31-21 Column B CALENDAR YEAR TOTAL TO DATE SUMMARY PAGE Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6/30 7/1 to Date $ Expenditures Made 6. Payments Made 7. Loans Made Schedule E, Line 4 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 8 + 9 +10 $ $ $ 0 0 0 0 0 0 $ 0 0 $ 0 0 0 $ 0 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts 14. Miscellaneous Increases to Cash 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. Previous Summary Page, Line 16 $ Column A, Line 3 above Schedule 1, Line 4 9676 0 0 0 9676 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above 0 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/ddtyy) $ *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 w wuvie avuars. Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Statement covers period from 1-1-21 CALIFORNIA FORM Page 460 4 of 5 through 6-30-21 NAME OF FILER Maryann Edwards for Temecula City Council 2018 I.D. NUMBER 1272781 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) • IND 0 0 0 0 ■ COM ■ OTH ■ PTY • SCC ■ IND 0 0 0 0 ■ COM • OTH • PTY ■ SCC • IND 0 0 0 0 ■ COM • OTH • PTY • SCC ■ IND 0 0 0 0 ■ COM • OTH III PTY ■ SCC • IND 0 0 0 0 ■ COM ■ OTH • PTY ■ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) 0 2. Amount received this period — unitemized monetary contributions of Tess than $100 $ 0 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. w Loans Received SEE INSTRUCTIONS ON REVERSE from through Statement covers period 1-1-21 CA FIORMNIA 460 6-30-21 Page 5 of 5 NAME OF FILER Maryann Edwards I.D. NUMBER 1272781 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (a) OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD (c) AMOUNT PAID OR FORGIVEN THIS PERIOD. (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (e) INTEREST PAID THIS PERIOD (t) ORIGINAL AMOUNT OF LOAN (9) CUMULATIVE CONTRIBUTIONS TO DATE t ❑ IND ❑ COM 0 OTH ❑ PTY ❑ SCC 0 $ 0 $ ❑ PAID $ 0 $0 % $ 0 CALENDAR YEAR g 0 ❑ FORGIVEN $0 0 RATE $0 PER ELECTION`* $0 DATE DUE DATE INCURRED 1 ❑ IND 0 COM ❑ OTH 0 PTY ❑ SCC 0 $ 0 $ 0 PAID $ 0 $ 0 % $ 0 CALENDAR YEAR g 0 ❑ FORGIVEN $ 0 0 RATE $ 0 PER ELECTION{" $ 0 DATE DUE DATE INCURRED t❑ IND 0 COM 0 OTH 0 PTY ❑ SCC $ 0 $ 0 0 PAID 0 $ $ 0 % $ 0 CALENDAR YEAR g 0 0 FORGIVEN $0 RATE $ 0 PER ELECTION** $ 0 DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule B Summary 1. Loans received this period $ (Total Column (b) plus unitemized loans of Tess 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.) 0 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. 0 *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 0 (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7-1-20 through 12-31-20 Date of election if applicable: (Month, Day, Year) Date Stamp RECEIVED FEB 05 2021' CITY CLERKS DEPT. COVER PAGE For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. I Officeholder, Candidate Controlled Committee V State Candidate Election Committee 0 Recall (Also Complete Part 5) D General Purpose Committee Sponsored (o�Small Contributor Committee Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee 8 Controlled Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement ▪ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) O Quarterly Statement O Special Odd -Year Report 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Maryann Edwards for Temecula City Council 2018 STREET ADDRESS (NO P.O. BOX) 41000 Main Street CITY STATE ZIP CODE AREA CODE/PHONE Temecula CA 92589 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 951-694-6416 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS maryann.edwards@citycouncil.org Treasurer(s) NAME OF TREASURER Tom Edwards MAILING ADDRESS 41000 Main St. CITY Temecula STATE ZIP CODE CA 92589 AREA CODE/PHONE 951-694-6416 NAME OF ASSISTANT TREASURER, IF ANY MAILING 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 to the best o certify under penalty of perjury under the laws of the State of California that the foregoing Executed on January 31, 2021 Date Executed on January 31, 2021 Date Executed on Date Executed on Date y By By By f my owledge the information contained her d correct. 9/ ignature of Con the attached schedules is true and complete. I ling • " ceh• •e andidate,�, to = easure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Maryann Edwards OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Temecula City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 41000 Main Street Temecula CA 92589 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.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT Maryann Edwards 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 1-7-20 through 12-31-20 SUMMARY PAGE Page 3 of 5 NAME OF FILER Maryann Edwards for Temecula City Council 2018 I.D. NUMBER 1272781 Contributions Received 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 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 0 0 0 Column B CALENDAR YEAR TOTAL TO DATE 0 0 0 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 $ $ 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 8 + 9 + 10 $ 50 0 50 0 0 50 $ 50 0 $ 50 0 0 $ 50 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, Line 16 13. Cash Receipts Column A, Line 3 above 14. Miscellaneous Increases to Cash Schedule 1, Line 4 15. Cash Payments Column A, Line 8 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 9726 0 0 50 9676 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ 0 $ 0 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If 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 Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from 1-7-20 through 12-31-20 SCHEDULE A Page 4 of 5 NAME OF FILER Maryann Edwards for Temecula City Council 2018 I.D. NUMBER 1272781 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 0 0 0 0 IND O COM ❑ OTH ❑ PTY ❑ SCC 0 0 0 0 O IND O COM ❑ OTH ❑ PTY ❑ SCC 0 0 0 0 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 0 0 0 0 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 0 0 0 0 SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) 2.'Amount received this period 1 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.) 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 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B - Part 1 to whole Ba, of .�s.,��w to dollars. Loans Received SEE INSTRUCTIONS ON REVERSE from through Statement covers period P 1-7-20 CALIFORNIA 460 FORM 12 31 20 Page 5 of 5 NAME OF FILER Maryann Edwards for Temecula City Council 2018 I.D. NUMBER 1272781 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) (al OUTSTANDING BALANCE BEGINNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD (c) AMOUNT PAID OR FORGIVEN THIS PERIOD* (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD O INTEREST PAID THIS PERIOD (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE t ❑ IND 0 COM 0 OTH 0 PTY ❑SCC 0 $ 0 $ ❑ PAID $ 0 $0 % $ 0 CALENDAR YEAR $0 ❑ FORGIVEN $ 0 RATE $ 0 PER ELECTION $ 0 DATE DUE DATE INCURRED t ❑ IND El COM 0 OTH ❑ PTY D SCC 0 $ 0 $ ❑ PAID $0 $0 % $0 CALENDAR YEAR $0 ❑ FORGIVEN $0 RATE $0 PER ELECTION** $0 DATE DUE DATE INCURRED t ❑ IND 0 COM ❑ OTH 0 PTY ❑ SCC 0 $ 0 $ ❑ PAID 0 $ 0 $ %$ 0 CALENDAR YEAR 0 $ ❑ FORGIVEN $0 RATE $ 0 PER ELECTION** $ 0 DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule B Summary 0 1. Loans received this period $ 2. Loans paid or forgiven this period $ 0 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 0 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. (Total Column (b) plus unitemized loans of Tess than $100.) (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. (Enter (e) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov