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HomeMy WebLinkAboutForm 460 - Pre-Election - Low, Ruth - 2015.09.24Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp Statement covers period Date of election if applicable:. ,Ian 1, 2015 from (Month, bay, Year) L i � � � 9 €'t s through Sep 19, 2015 Nov 3, 2015 _ k A� 1. Type of Recipient Committee: All Committees - Complete Parts t, 2, 3, and 4, ko Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee 0 Recall O Controlled (A1soComplete Part 5) O Sponsored ❑ General Purpose Committee (Also Complete Par[ 6) O Sponsored ❑ Primarily Formed Candidate/ C) Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information II.D. NUMBER 9379445 COMMITTEE NAME (OR CANDIDATE'S NAME T NO COMMITTEE) Committee to Elect Ruth Low to City Council 2015 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODEIPHONE 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 k under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Sep 24, 2015 Executed on By �] Date k Executed an fJ �q / �r By Date Sionnhire nfl 2. Type of Statement: Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page 1 of — For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 NAME OF TREASURER Richard M. Rogers MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY OPTIONAL: FAX 1 E-MAIL ADDRESS STATE ZIP CODE AREA CODEIPHONE the infprmafj'on inoQtain mein 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 MeasumProponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866IASK-FPPC (866/275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page -- Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Ruth Low OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Member of the City Council (Diamond Bar) RESIDENTIALIBUSIN ESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page 2 of 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 officeholderfs) 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 CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets if necessary FPPC Form 460 (Januaryl(015) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275.3772) State of California Expenditures Made through Sep 19, 2015 Page 3 of SEE INSTRUCTIONS ON REVERSE $ 3,350.35 . ......... Schedule H, Line 3 .. 7. Loans Made.. . ............................................. 0 0 NAME OF FILER $ 3,350.35 $ 3,350.35 I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1,165.00 1,165.00 1379445 665.60 ColumnA Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Primary and g 5,180.95 (FROM ATTACHED SCHEDULES) TOTALTODATE 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 General Elections 3 7 957 00 $ $ 7 957 00 1. Monetary Contributions ........................................... Schedule A, Line amounts in Column A to the 9I1 through 6130 711 to Date 0 5,000.00 5,000.00 2. Loans Received...................................................... Schedule B, Line 3 from Column 8 of your last 3,350.35 12,957.00 $ 12,957.00 20. Contributions 3. SUBTOTALCASH CONTRIBUTIONS ......................... Add Lines/+2 $ 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 Received $ $ 9,606.65 665.60 665.60 4. Nonmonetary Contributions .................................... Schedule C, Line 3 subtracted from previous If this is a termination statement, Line 16 must be zero. 21. Expenditures Add Lines 3+4 $ 13,622.60 $ 13,622.60 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ........................... the first report being filed s, Part 2 Expenditures Made ....................... 6, Payments Made ........................... ..... Schedule >_, Line 4 $ 3,350.35 $ 3,350.35 . ......... Schedule H, Line 3 .. 7. Loans Made.. . ............................................. 0 0 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+ 7 $ 3,350.35 $ 3,350.35 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 1,165.00 1,165.00 665.60 665.60 10. Nonmonetary Adjustment .......................................... Schedule c, Linea 11. TOTAL EXPENDITURES MADE ................................ Add !rhes s + 9 + 10 $ 5,180.95 $ 5,180.95 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 0 To calculate Column B, add 13. Cash Receipts .............. .. column A, Line 3 above 12,957.00 amounts in Column A to the 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule i, Line 4 from Column 8 of your last 3,350.35 report. Some amounts in 15. Cash Payments .................................................. Column A, Line 8 above Column A may be negative 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 9,606.65 figures that should be .""..... subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed s, Part 2 $ for this calendar year, only 17. LOAN GUARANTEES RECEIVED ........................... Schedule carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts any). 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column B above $ 6,165'00 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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule Type or print in ink. SCHEDULE A Moneta Contributions Received iAmounrs may ae rounaeo Statement covers period 1 to whole dollars.CALIFORNIA • Jan 1, 2015 from Sep 19, 2015 4 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE STREET FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ACOMMITTEE,RALSAND ZIPCODE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF -EMPLOYEE, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFELSINESS) Mok Enterprises FIND ❑COM Ken Mak 9/13/15 ❑ PTY ❑SCC Michael R. Wilkinson ®IND Retired 91$115 Suzanne C. Wilkinson �ooH $100.00 $100.00 ❑ sCC Roger J. Myer g y BIND ❑ COM Retired 9113115 Rachel S. Clarke ❑OTFi $100.00 $100.00 ❑ PTY ❑ SCC Leslie Bellegia ®IND Retired 9113115 $100.00 ❑ PTY ❑ SCC Stuart A. Simon BIND Attorney 9113115 ❑ PTY ❑SCC SUBTOTAL$ $1,000.00 Schedule A Summary 1. 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.) ....................... TOTAL $ $6,500.00 $1,457.00 $7,957.00 FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) *Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY—Political Party SCC—Small Contributor Committee Schedule A (Continuation Sheet) Tvne or print in ink. SCHEDULE A (CONT,) Monetary Contributions Received Amounts may be rounded Statement covers perlod____F CALIFORNIA to whole dollars. Jan 1 2015 ' • RM 460 from Sep 19, 2015 5 through page of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE ZIPDE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OECOMMITrEE,S SAND .D N CODE * {IPSeLr-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) U BUSINESS) Liz Harris RIND Attorney 9113115 LOTH ❑PTY ❑ SGC Cliff & Iona Elmer RIND 9113115 ❑OTH PTY ❑SCC Glendy Chiang ®IND Insurance Agent 9113115 ❑ OTH ❑PTY ❑SCC Claritza Jimenez Callici RIND Interpreter 9113115 L] PTY Court ❑ scC Joseph T. Ruzicka RIND 9113115 ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ $950.00 '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) Schedule A (Continuation Sheet) TVDe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIAA60 to whole dollars. Jan 1, 2015 FOR from Sep 19, 2015 6 through Page of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR A CODE RE.ALSAND ZIER CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EET IT 1 CODE * (1F SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Patsy T. Wilson ®IND 9113115 ❑ PTY ❑ SCC Margarita Martinez BIND Teacher 9113115 TY 0 PTH School District ❑ SCC Roger & Rachel Kirk ®IND 9113115 EOTH ❑ PTY ❑ SCC Wen & Mei Lien Chang BIND Businessman 9113/15 ❑OTH ❑ PTY ❑ SCC Cindy Liu ®IND Businesswoman 9113115 FIFTY []SCC SUBTOTAL$$1,650.00 'Contributor Codes ND— Individual COM — Recipient Committee (other than PTY or SCC) QTH — Other (e.g., business entity) PTY-- Political Party SCC— Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline; 866[ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Tvve or Drint in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. Jan 1, 2015 FORM 460 from 7 Sep 19, 2015 through Page of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE ANDeRl.o.N DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUM ULATIVETO DATE CALENDAR YEAR PERELECTION TO DATE RECEIVED pFcoMMiDRE,aS CODE * (IF SELF-EMPLOYED, ENTERNAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUS]SJI I Lan Yeh Tsai ® IND 9113115 ❑ PTY ❑SCC Edwin & Pearl Hilden BIND 9113115 L] OTH ❑ PTY ❑ SCC Janice Giardina 0IND Bank Manager 9113115 ❑PTY ❑ SGG Jess Carbajal OIND 9113115 ❑OTY ❑ SCC Julie Miller ®IND 9113115 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ $700.00 'Contributor Codes IND—Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee FPPC Form 460 (January/05) FPPC Toli-Free Helpline: 866/ASK-FPPC (8661275.3772) Schedule A (Continuation Sheet) Tvpe or nrint in ink, SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIAA601 to whole dollars. Jan 1, 2015 from through Sep 19, 2015 Page 8 of NAME OF FILER I.Q. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR S AND ZIPER CODE CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (EETAIF COMMITTEE. CODE (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OFEUS1NEss) Bonnie Kirchner BIND 9113115 ❑ PTY ❑ SCC Titan Management & Investment, Inc. []IND 9113/15 ❑ PTY ❑ SCC Committee to Elect Carol to City Council ❑IND 9/13115 ❑ PTY ❑ ScC Tony Torng for School Board 2013 ❑IND 9/13/15 71 ❑ PTY ❑ SCC Nancy Lyons E] IND 9/13/15 Pw City of Diamond Bar ❑ SCC SUBTOTAL$ $1,600.00 "Contributor Codes IND—Individual COM-- Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY— Political Party SCC— Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline:-866/ASK-FPPC (866!275-3772) Schedule A (Continuation Sheet) Tvpe or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. Jan 1 2015 FORM 46 from 9 Sep 19, 2015 through Page of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREETA E O RESS AN CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED IT TE€�I.o.Nun CODE * (IF SELF-EMPLOYED,;=NTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Amer Holmes BIND School Psychologist 9115115 El PTY ❑ SCC Dr. Edward J. Faeder ®IND Toxicologist 9115115 0 OTH ❑PTY ❑ scC Midas Automotive Service Experts ❑IND 9114115 11 OTH ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC [-]IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL$ $600.00 *Contributor Codes IND —Individual COM— Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Poiiti cal Party SCC—Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline: 866/ASK-FPP0 (8661275-3772) SCHEDULE B- PART 1 Schedule B — Part 1 Amounts may be rounded Statement covers period 0. l Loans Received to whole dollars. Jan 1, 2015 _ • from 10 Sep 19, 2015 SEE INSTRUCTIONS ON REVERSE through page of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT AMO(�)UNT PAID OUTSTANDING BALANCEAT INTEREST ORIGINAL CUMULATIVE _ OF LENDER (IF SELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THiS AMOUNT OF CONTRIBUTIONS (IrCOMMITTEE, ALSO ENTER I.D. NUMBER) NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD` PERIOD PERIOD LOAN TO DATE Richard M. Rogers Investment Officer ❑ PAID CALENDARYEAR % RATE $ ❑ FORGIVEN PERELECTION6` $ 0 $ 5,000.00 $ 0 11/30/15 $ 0 8122115 $ DATE DUE DATE INCURRED tV IND ❑ COM ❑ OTH ❑ PTY ❑ SCC PAID CALENDARYEAR ❑ FORGIVEN PER ELECTION"* RATE DATEDUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC © PAID CALENDARYEAR © FORGIVEN PERELFCTIDN** RATE DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ $CC. SUBTOTALS $ 5,000.00$ 0 $ 5,000.00 $01 (Enter (0) on Schedule B Summary Schedule E, Line 3) 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 orforgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 5,000.00 Y 3. Net change this period. Subtract Line 2 from Line 1. NET $ 5,000.00 Enter the net here and on the Summary Page, Column A, Line 2. (May be a negabve number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 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 (January105) FPPC Toll-free Helpline: 8661ASK-FPPC (8661275-3772) Ar-hprh lip C Type or print in ink. Ar-HPnl n F r: Amounts may oe rounaea Nonmonetary Contributions Received towholedollars. Statement covers period • - , Jan 1, 2015 • - 0 from 11 Sep 19, 2015 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO LATE PER ELECTION TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR t IF COMMITTEE, ALSO ENTER I.D. NUM6ER) CODE * {IFS ME OF BLISIN ENTER NAME of euswEss{ GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 -DEC 39 ) (IF REQUIRED) 'Printing Dynamics, Inc. ❑IND 918115 BOTH ❑ PTY ❑SCG Sycolor, Inc. ❑IND 9111115 ®OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 665.60 Schedule C Summary 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)..................................................................................................................... $ 2. Amount received this period — unitemized 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 $ 665.60 2 665.60 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SGC) 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 (6661275-3772) E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from Jan 1, 2015 through _ Sep 19, 2015 Page 12 of NAME OF FILER I.U. NUMULK Committee to Elect Ruth Low to City Council 2015 1379445 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc, 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 stafflspouse travel, lodging, and meals IND independent expenditure supportinglopposing 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 WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER LID, NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Diamond Bar Goff Course Sycolor, Inc. « Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 3,282.09 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.) ............................. TOTAL $ 3,282.09 68.26 0 3,350.35 FPPC Form 460 (Januaryl05) FPPC Toll -Free Helpline: 8661ASK-FPPC (866/275-3772) Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee to Elect Ruth Low to City Council 2015 Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from Jan 1, 2015 through Sep 19, 2015 SCHEDULEF Page 13 of I.D. NUMBER 1379445 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 RFD radio airtime and production costs returned contributions CNS campaign consultants MTG OFC meetings and appearances office expenses SAL campaign workers' salaries CTB contribution (explain nonmonetary)" PEr petition circulating TEL or cable airtime and production costs CVC civic donations PHO phone banks TRC candidate travel, lodging, and meals c a FIL candidate filling/ballot fees POL polling and survey research TRS staff/spouse travel, lodging, and meals FND fundraising events IND independent supportinglopposing others (explain)` POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor expenditure PRO professional services (legal, accounting) VOT voter registration LEG legal defense PRT ads WEB information technology costs (Internet, e-mail) LIT campaign literature and mailings print (a) (b) {c} {d} NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION CODE OR OF PAYMENT OUTSTANDING BALANCE BEGINNING AMOUNT INCURRED THIS PERIOD AMOUNTPAID THIS PERIOD OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON EI OF THIS PERIOD Veridyne Industries The Windmill * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 1,165.00 $ 0 $ 1,165.00 summarized on Schedule D. Schedule F Summary 1. 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.) ................................. 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.) ........... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)................................................................................................ .......... INCURRED TOTALS $ PAID TOTALS $ 1,165.00 Q NET $1,165.00 May be a negative number FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772)