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HomeMy WebLinkAboutForm 460 - Pre-Election - Low, Ruth - 2015.10.19Recipient Committee Campaign Statement CoverPage (Government Code Sections 84200-84216.5) from Type or print in ink. Statement covers period I Date of election if applicable: Sep 20, 2015 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE i through Oct 17, 2015 1. Type of Recipient C®mnlitteO: All Committees – Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (AND CompretePart 5) Q Sponsored (Aco Complete Part6) [] General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (AisoCompretePar17) 3. Committee Information I.Q. NUMBER 1379445 Committee to Elect Ruth Low to City Council 2015 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 under penalty of perjury under the laws of the State of California that the foregoing is true and cork Executed on Oct 18, 2015 Date Executed on Oct 18, 2015 Date Executed on - e - Date Executed an Date By By Nov 3, 2015 Dale Stamp RECEI / 19 F C1T M �Ty ` f t 2. Type of Statement: ® Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVERPAGE Ph6e 1 M M of — For Officlal Use Only 4. FA ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Richard M, Rogers CITY STATE ZIP CODE AREA CODEIPHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS herein and in the attached schedules is true and complete. I certify By Signature ofCorarollingOfficeholder, Candidate, State Measure Proponent BY - — SignatureofControlling OfSceWder, Candidate, Slate Measure Proponent FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 666(ASK-FPPC (8661275.3772) State of California Type or print in Ink.COVERPAGE-PART2 Recipient Committee , Campaign Statement TORM Covet Paige ® 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) Diamond Bar, CA 91765 Related Committees Not included in this Statement; Llscanycommittees 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 COMMITTEEADDRESS STREETADDRESS (NO P.D. BOX) CITY STATE ZIP CODE AREA CODElPHONE COMMITTEENAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page 2 of 6. Primarily Formed Ballot Measure Committee 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 OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee ieprimadly 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 Farm 460 (January/05) FPPC Tall -Free Helpline: 8661ASK-FPPC (86612753772) State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE SUMMARY PAGE Statement covers period from Sep 20, 2015 through Oct 17, 2015 I page 3 of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 Contributions Received Column A TOTALTHISPERM Column B CALENDARYEAR (FROMATTACHIEDSCHEDULES) TOTALTODATE 1. Monetary Contributions ........................................... schedule A, Linea $ 5,187.00 $ 13,144.00 2. Loans Received...................................................... schedule B, Line 3 0 5,000.00 3. SUBTOTALCASH CONTRIBUTIONS ......................... Addtlnesl+2 $ 5,187.00 $ 1$,144.00 4. Nonmonetary Contributions ......,... schedule e, Line 3 27.25 692.85 5. TOTAL CONTRIBUTIONS RECEIVED ................ Add Lines 3+4 $ 5,214.25 $ 18,636.85 Expenditures Made S. Payments Made ....................................................... schedule E, Line 4 7. Loans Made............................................................. schaduie u, Line 3 S. SUBTOTALCASHPAYMENTS.................................... Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) .. ....... ___ ....... ......... schedule F Linea 10. Nonmonetary Adjustment .......................................... schedule c, Line a 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 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. $ 7,125.47 0 $ 7,125.47 -1,165.00 27.25 $ 10,475.82 0 $ 10,475.82 0 692.85 $ 5,987,72 $ 11,168,67 $ 9,606.65 5,187.00 0 7,125.47 $ 7,668.18 17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 $ Casio Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ see instructions an reverse 19. Outstanding Debts ......................... AddLine 2 +Line 9 in Column B above $ 5,000.00 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections Ill through 6/30 711 to date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made" (H Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmiddlyy) E] *Amounts in this section may be different from amounts reported in Column S. FPPC Form 464 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A Type or print in ink. SCHEDULE A , l !" �"'l M 1"a �'U luml 1 one ryContributions Receivedto whole dollars. Statement covers period O , , Sep 20, 2015 From . SEE INSTRUCTIONS ON REVERSE through Oct 17, 2015 Page 4 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 CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITfERALSOENTERLD. NUMBER) CODES OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF-RMPLOYED,ENTER NAME PERIOD (JAN, 1 - DEC. 31) (IF REQUIRED) OFBUSINESS) ® IND 9124195 Eric Lew ❑ PTY ❑SCC IND 9/24115 Richard Malooly ❑ PTY ❑SCC ® IND 8!24115 Bill Lew ❑ PTY ❑ SGC 9124115❑COM Paul Sherwood ❑ PTY ❑SCC Cathy Tierney ®IND ❑ Retired 9/24/15 ❑ PTY ❑SCC SUBTOTAL$ 675.00 Schedule A Summary -- 1. Amount received this period — itemized monetary contributions, (Include all Schedule A subtotals.) ... $ _ _ 3,425.00 2. Amount received this period—unitemized monetary contributions of less than $100 ............................. $ 1,762.00 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ 5,187,00 *Contributor Codes IND—Individuai COM —Recipient Committee (other than PTY or SCG) OTH — Other (e.g., business entity) PTY— Political Party SCC —Small Contributor Committee FPPG Form 460 (Januaryl05). FPPG Tall -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Monetary Contributions Received Type or print in ink. Amounts may be rounded towhole dollars. Statement covers period from Sep 20, 2015 through Oct 17, 2015 SCHEDULE (CONT,) Page 5 of NAME O F FI LERt. U. NUM15tK Committee to Elect Ruth Low to City Council 2015 1379445 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMtTTEE,ALSO ENTER P.D.NUMBER) CODE (IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINE8S) Gordon Van De Water MCOM Retired 9126115 ❑ PTY ❑ SCC 9126115 Martha Ching VIIND ❑co Business IT Manager $150.00 $150.00 ❑ PTY ❑ SCC 9126115❑COM Diana Hsueh ®IND Realtor $200.00 $200.00 ❑ PTY - ❑scc ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ 450.00 *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 (January105) FPPC Toll -Free Helpline: 866/ASK-FPPC (86812753772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. Sep 20 2015 ' e - from through Oct 17, 2015 page 6 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 PFCOMMITTEE,ALSO ENTER I.D.NUMBER) CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * {IFSELF-EMPLOYED, ENTER NAME PERIOD (JAN. t - DEC, 31) (IF REQUIRED) OF BUSINESS) Shelly Kohl! pcoM Attorney 1019115 ❑ PTY ❑ SCC 1019115 Steven M. Tye ®IND ❑❑OTH COM Financial Advisor $150,00 $150.00 ❑ PTY ❑ 8CC 1019115 Samia Otaky ®IND ❑COM Accountant $200.00 $200.00 ❑PTY District Attorney's Office ❑scc ❑IND ❑COM ❑ OTH ❑ PTY [:]SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑SCC SUBTOTAL$ $550.00 "Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) OTH -- Other (e.g., business entity) PTY --Political Party SCC—Small Contributor Committee FPPC Form 460 (January/05) FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275-3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE.A (CONT.) Monetary Contributions Deceived Amounts may be rounded Statement covers period towholedollars. Sep 20, 2015through #rom FP,2, Oct 17, 2015 7 of NAME OF FILER I.D. NUMBER Committee to Elect Ruth Low to City Council 2015 1379445 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IFCaMMrffE�,ASANEREA,Nl CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE � {IFSELF-EMPLOYr=o ENTERWME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9F BUSINESS) Rebecca Low ®IND 10/12/15 P� TY La Paloma Health Care ❑SCC Marykay Nichols OIND 10/10/15 ❑PTY []SCC Don A. Wyse OIND 1019115 ❑OTH ❑ PTY ❑SCC Inland Empire Renewable Energy Reg. Ctr. ❑IND 1019115 0 0TH ❑ PTY ❑SCC Faiez & Fares Ennabe ❑IND 1019115 120TH ❑ PTY ❑ SCC SUBTOTAL$ 1,450.00 `Contributor Codes IND—Individual COCA — 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: 8661ASK-FPPC (8661275-3772) Schedule At (Continuation Sheen Type or print In Ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts maybe rounded Statement covers period . to whole dollars. Sep 20 2015 ' • from Oct 17, 2015 8 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 (IF COMMITTEE, A IT RE,ALSAND ZI IA.N DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF SELFFEMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OF BUSINESS) Jahn Forbing ®IND 1019115 � PTH State Farm ❑scc - ❑ IND ❑COM ❑ OTH ❑ PTY []SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ Pte` ❑ SCC SUBTOTAL$ 300.00 "Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY— Political Parry SCC -- Small Contributor Committee FPPC Form 460 (January105) FPPC Toll -Free Helpline; 866/ASK-FPPC (8661275-3772) SCHEDULEB-PART1 Schedule B — Pert 1 Amounts Amounts may be rounded statement covers period ' g Loan Received to whole dollars. Sep 20, 2015 from Oct 17, 2015 9 SEE INSTRUCTIONS ON REVERSE through Page o f 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 a OUTSTANDING BALANCE lbl AMOUNT (c) AMOUNTPAID [d) OUTSTANDING BALANCEAT {e} INTEREST f} ORIGINAL {9} CUMULATIVE OF LENDER (IFSELF-EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITrsE,ALSOENTERLD.NUMBER) NAMEOFBUSINESS) E Rion PERIOD THIS PERIOD I PERIOD LOAN TO DATE Richard M. Rogers Investment Officer [] PAID CALENDARYEAR % RATE $ ❑ FORGIVEN PERELSCTION** 5,000.00 $ 0 $ 0 11/30/15 $ 0 8122/15 $ $ DATE RUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR $ $ % $ $ [] FORGIVEN RATE PERELECTION DATEDUE DATE INCURRED tEl IND ❑ CONI ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDARYEAR $ $ 96 $ $ PFRELECTION" © FORGIVEN RATE DATE DUE t'❑ IND © COM © OTH ❑ PTY ❑ SCC DATE INCURRED SUBTOTALS $ 0$ 0 $ 5,000.00 $ 01. Schedule 8 Summery 1. Loans received this period..................................................................................................................... $ (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid orforgiven this period......................................................................................................... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also iternized on Schedule A.) 0 Q 3. Net change this period. (Subtract Line 2 from Line 1.)........................................................... NET $ 0 Enter the net here and on the Summary Page, Column A, Line 2. (Maybe a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. ** W required. (Enter(e)on sdtedule E, Line 3) tContributor Codes IND Individual COM — Recipient Committee (other than PTY or SGC) OTH -- Other (e,g., business entity) PTY -- Politica) Party SCC—Small Contributor Committee FPPC Form 460 (January105) FPPC Tall -Free Helpline; 866/ASK-FPPC (8661275-3772) SChadtilp C Type or print in ink... SCHEDULE C Amounts may oe rounuea iV0lI�#Yi017e!]r Contributions Received to whole dollars. Statementcoverseriod p • ' Sep 20, 2015 from FORM :460;1 Oct 17, 2015 10 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 lFAN INDIVIDUAL, ENTER OCCUPATIONAND EMPLOYER DESCRIPTION OF AMOUNT/ FAIR MARKET CUMULATIVE TO DATE PER ELECTION TO RATE RECEIVEDZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (FSELF-EMPLOYED, ENTER BUSINESS) GOODS OR SERVICES VALUE CALENDAR YEAR (JAN 1 - DEC 31) (IF REQUIRED) NAME OF ❑IND 9124115 Printing Dynamics, Inc. ❑COM $27.25 $397.55 ❑PTY ❑SCC [-]IND ❑COM [] OTH ❑ PTY ❑ SCC []IND ❑COM ❑ OTH ❑PTY ❑SCC ❑ IND ❑COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 2725 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 $ 27.25 NJ 27.25 *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 FPPG Form 460 (January/05) FPPG Toll -Free Helpline: 868/ASK-FPPG (8661275,3772) Schedule E Payments (Wade 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 Sep 20, 2095 through Oct 17, 2015 1 Page 11 of CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1379445 SCHEDULEE GIVP 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 FET 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 staffiepouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG iegal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet e-mail) NAMEAND ADDRESS OF PAYEE (IFOOMMITTEE.ALSO ENTER IA.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Veridyne Industries The Windmill J&D Printing and Mailing LIT $838.64 " Payments that are contributions or independent expenditures must also be summarized on schedule D. SUBTOTAL$ 3,661.64 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 7,107.21 2, Unitem!zed payments made this period of under $100 .............. ,..... , $ 18.26 3. Total interest paid this period on loans. (Enter amount from Schedule B, Pari 1, Column (e).) .. $ 0 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ...... TOTAL $ 7'126.47 FPPC Form 460 (Januaryl05) FPPC Tall -Free Helpline: 866/ASK-FPPC (8661275,3772) Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON 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 Sep 20, 2015 SCHEDULE E (CONT.) through Oct 17, 2015 ! Page 12 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. GMP campaign paraphernallalmiso. 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 PDL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supportinglopposing others (explain)" POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT camDalan literature and mailings PRT print ads WEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1,13. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTP_AID Voter Guide Slate Cards $720.00 Veridyne Industries AD Printing and Mailing LIT $83864 Veridyne Industries Printing Dynamics ` payments thatare contributions or independent expenditures mustalso be summarized on Schedule D. SUBTOTAL $ 3,254.95 FPPC Form 460 (January/05) FPPC Toll -Free helpline: 8fi6/ASK-FPPC (8661275-3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE member communications NAME OF FILER meetings and appearances Committee to Elect Ruth Low to City Council 2015 office expenses CODES: If one of the following codes accurately describes the CMP campaign paraphernalia/mise. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)* OFC CVC civic donations FET FIL candidate filinglballot fees PHO FND fundraising events POL IM independent expenditure supportinglapposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT Statement covers period from Sep 20, 2095 through Oct 17, 2015 payment, you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads WEB SCHEDULE E (CONT) Page 13 of I.D. NUMBER 1379445 describe the payment. radio airtime and production costs returned contributions campaign workers' salaries Lv. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travelr lodging, and meals transfer between committees of the same candidatelsponsor voter registration information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF OOMMITTEE, ALSO ENTER W. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID J&D Printing and Mailing LIT $190.62 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 190,62 FP PC Form 460 (January/05) FPPC Toll -Free Helpline: 8661ASK-FPPC (8661275-3772) Schedule F Type or print in ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) towholedollars, SEE INSTRUCTIONS ON REVERSE statement covers period from Sep 20, 2015 through . Oct 17, 2015 SCHEDULE F Page 14 of NAME OF FILER I.D. NUMBER 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 paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants IVITG meetings and appearances RFI] 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 sta#flspouse 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 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. SUBTOTALS $ 1,165-00 $ 3,218.06 4,383.06 0 Schedule F Summery 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.) ............................................ 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.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .......... .............................................................................., ............................. PAID TOTALS $ 3,218.06 4,383.06 NET -1,165.00 May bennegative numhet FPPC Form 460 (January/05) FPPC Toll -Free Helpline: BGBIASK-FPPC (8681275-3772) [a} (b) {N} { NAME AND ADDRESS OF CREDITOR CODE OR AMOUNT INCURRED AMOUNT PAID OUTSTAA NDING IIF COMMITTM ALSO ENTER I.D. NUMBER) DESCRIPTION OF PAYMENT LANCE BEGINNING BALANCE THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD tALSDREPORT ONE) OF THIS PERIOD Veridyne Industries LIT The Windmill . PRT * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS $ 1,165-00 $ 3,218.06 4,383.06 0 Schedule F Summery 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.) ............................................ 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.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) .......... .............................................................................., ............................. PAID TOTALS $ 3,218.06 4,383.06 NET -1,165.00 May bennegative numhet FPPC Form 460 (January/05) FPPC Toll -Free Helpline: BGBIASK-FPPC (8681275-3772)