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COVER PAGE
Recipient Committee
Campaign Statement
Date Stamp
CALIFORNIA
2001/02
FORM
2. Type of Statement:
Pre-election Statement
Semi-annual Statement
Termination Statement
Amendment (Explain below)
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
I.D.NUMBER
742552
3. Committee Information
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE
Treasurer(s)
NAME OF TREASURER
Rita Copeland
MAILING ADDRESS
STATE
Sacramento
of 16
through 12/31/2015
CITY
Page 1
460
CA
ZIP CODE
AREA CODE/PHONE
95841
CITY
Sacramento
STATE
ZIP CODE
CA
95841
STATE
ZIP CODE
CA
93401
AREA CODE/PHONE
916-348-9100
Debra Broner
MAILING ADDRESS
CITY
STATE
CA
ZIP CODE
AREA CODE/PHONE
93406
CITY
805-546-0448 / campaigns@rcbs.us
AREA CODE/PHONE
805-206-7809
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules
is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
01/25/2016
By Rita Copeland
SIGNATURE OF TREASURER OR ASSISTANT TREASURER
DATE
Executed on
By
SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDIDATE, STATE MEASURE PROPONENT OR RESPONSIBLE OFFICER OF SPONSOR
DATE
Executed on
By
DATE
Executed on
By
DATE
2011091-0
Recipient Committee
Campaign Statement
Cover Page
Part 2
460
CALIFORNIA
FORM
Page 2
CITY
16
of
STATE
ZIP
JURISDICTION
SUPPORT
OPPOSE
I.D.NUMBER
CONTROLLED COMMITTEE?
YES
SUPPORT
NO
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
COMMITTEE NAME
I.D.NUMBER
SUPPORT
OPPOSE
NAME OF TREASURER
CONTROLLED COMMITTEE?
YES
NO
SUPPORT
OPPOSE
CITY
STATE
ZIP CODE
AREA CODE/PHONE
2011091-0
SUMMARY PAGE
CALIFORNIA
FORM
07/01/2015
through 12/31/2015
Page 3
NAME OF FILER
460
of 16
I.D. NUMBER
742552
Column A
Contributions Received
Column B
CALENDAR YEAR
TOTAL TO DATE
1.
Schedule A, Line 3
$13,325.00
$33,100.00
2.
Schedule B, Line 7
$0.00
$0.00
3.
$13,325.00
$33,100.00
$0.00
$0.00
$13,325.00
4.
5.
Add Lines 1 + 2
Schedule C, Line 3
Add Lines 3 + 4
$.00
$33,100.00
21. Expenditures
Made
$.00
$.00
Schedule E, Line 4
$9,420.01
$22,398.57
7.
Schedule H, Line 7
$0.00
$0.00
$9,420.01
$22,398.57
8.
Add Lines 6 + 7
9.
Schedule F, Line 3
$0.00
$0.00
Schedule C, Line 3
$0.00
$0.00
$9,420.01
$22,398.57
Add Lines 8 + 9 + 10
7/1 to Date
$.00
6.
Expenditures Made
Total to Date
16. ENDING CASH BALANCE...... Add Lines 12 + 13 + 14, then subtract Line 15
$36,286.58
$13,325.00
$0.00
$9,420.01
$40,191.57
$0.00
$0.00
$0.00
2011091-0
Schedule A
Monetary Contributions Received
SCHEDULE A
Statement covers period
from
07/01/2015
through 12/31/2015
Page 4
NAME OF FILER
460
of 16
I.D. Number
742552
DATE
RECEIVED
CALIFORNIA
FORM
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
8/21/2015
IND
COM
OTH
PTY
SCC
$200.00
$200.00
7/31/2015
IND
COM
OTH
PTY
SCC
$600.00
$1,375.00
7/31/2015
IND
COM
OTH
PTY
SCC
$100.00
$100.00
7/31/2015
IND
COM
OTH
PTY
SCC
$150.00
$275.00
7/31/2015
IND
COM
OTH
PTY
SCC
$100.00
$100.00
PER ELECTION
TO DATE
(IF REQUIRED)
SUBTOTAL
Schedule A Summary
1. Amount received this period - contributions of $100 or more.
(Include all Schedule A subtotals.) ........................................................................................................
$13,200.00
2. Amount received this period - unitemized contributions of less than $100 ............................................
$125.00
$13,325.00
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (JUNE/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
2011091-0
SCHEDULE A (CONT.)
Statement covers period
from
07/01/2015
through 12/31/2015
Page 5
NAME OF FILER
460
of 16
I.D. Number
742552
DATE
RECEIVED
CALIFORNIA
FORM
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)
11/11/2015
IND
COM
OTH
PTY
SCC
$100.00
$100.00
7/13/2015
PG&E Corporation
San Francisco, CA 94110
IND
COM
OTH
PTY
SCC
$6,000.00
$6,000.00
8/31/2015
Phillips 66 Company
Houston, TX 77210
IND
COM
OTH
PTY
SCC
$2,500.00
$5,000.00
8/21/2015
IND
COM
OTH
PTY
SCC
$100.00
$725.00
8/21/2015
IND
COM
OTH
PTY
SCC
$125.00
$725.00
PER ELECTION
TO DATE
(IF REQUIRED)
SUBTOTAL
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (JUNE/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
2011091-0
SCHEDULE A (CONT.)
Statement covers period
from
07/01/2015
through 12/31/2015
Page 6
NAME OF FILER
460
of 16
I.D. Number
742552
DATE
RECEIVED
CALIFORNIA
FORM
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)
11/11/2015
IND
COM
OTH
PTY
SCC
$100.00
$375.00
11/11/2015
IND
COM
OTH
PTY
SCC
$125.00
$375.00
7/13/2015
IND
COM
OTH
PTY
SCC
$2,000.00
$3,250.00
9/11/2015
IND
COM
OTH
PTY
SCC
$1,000.00
$3,500.00
PER ELECTION
TO DATE
(IF REQUIRED)
IND
COM
OTH
PTY
SCC
SUBTOTAL
$13,200.00
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
FPPC Form 460 (JUNE/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
2011091-0
SCHEDULE B - PART 1
Schedule B Part 1
Loans Received
CALIFORNIA
FORM
07/01/2015
through 12/31/2015
Page 7
460
of 16
I.D. NUMBER
NAME OF FILER
742552
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
(f)
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR
PAID
%
RATE
PER ELECTION**
FORGIVEN
IND
COM
OTH
PTY
SCC
DATE DUE
DATE INCURRED
CALENDAR YEAR
PAID
%
RATE
PER ELECTION**
FORGIVEN
IND
COM
OTH
PTY
SCC
DATE DUE
DATE INCURRED
CALENDAR YEAR
PAID
%
RATE
PER ELECTION**
FORGIVEN
IND
COM
OTH
PTY
SCC
DATE DUE
DATE INCURRED
SUBTOTALS
Schedule B Summary
(Enter (e) on
Schedule E, Line 3)
Net
(may be a negative number)
OTH-Other
PTY-Political Party
** If required.
2011091-0
Schedule B - Part 2
Loan Guarantors
SCHEDULE B - PART 2
Statement covers period
from
07/01/2015
through 12/31/2015
Page 8
460
of 16
I.D. Number
CALIFORNIA
FORM
742552
CONTRIBUTOR
CODE
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
GUARANTEED
THIS PERIOD
LOAN
CUMULATIVE
TO DATE
LENDER
CALENDAR YEAR
DATE
PER ELECTION
(IF REQUIRED)
LENDER
CALENDAR YEAR
DATE
PER ELECTION
(IF REQUIRED)
LENDER
CALENDAR YEAR
DATE
PER ELECTION
(IF REQUIRED)
LENDER
CALENDAR YEAR
DATE
PER ELECTION
(IF REQUIRED)
SUBTOTAL
BALANCE
OUTSTANDING
TO DATE
Enter on
Summary Page,
Line 17 only.
2011091-0
Schedule C
Nonmonetary Contributions Received
SCHEDULE C
Statement covers period
from
07/01/2015
through 12/31/2015
Page 9
460
of 16
I.D. Number
DATE
RECEIVED
CALIFORNIA
FORM
742552
CONTRIBUTOR
CODE *
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
DESCRIPTION OF
GOODS OR SERVICES
AMOUNT/
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
SUBTOTAL
Schedule C Summary
1. Amount received this period - nonmonetary contributions of $100 or more.
(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
*Contributor Codes
IND - Individual
COM - Recipient Committee
(other than PTY or SCC)
OTH - Other
PTY - Political Party
SCC - Small Contributor Committee
2011091-0
Schedule D
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
SCHEDULE D
Type or print in ink.
Amounts may be rounded
to whole dollars.
07/01/2015
CALIFORNIA
FORM
through 12/31/2015
Page 10
of 16
NAME OF FILER
I.D. NUMBER
742552
DATE
11/12/2015
Support
Oppose
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN.1 - DEC. 31)
$1,500.00
Monetary
Contribution
460
PER ELECTION
TO DATE
(IF REQUIRED)
$2,299.20
Nonmonetary
Contribution
Independent
Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Support
Oppose
Independent
Expenditure
Monetary
Contribution
Nonmonetary
Contribution
Support
Oppose
Independent
Expenditure
SUBTOTAL
$1,500.00
Schedule D Summary
1. Contributions and independent expenditures made this period of $100 or more. (Include all Schedule D subtotals.) ..........................................
$1,500.00
2. Unitemized contributions and independent expenditures made this period of under $100 .....................................................................................
$0.00
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ..........
$1,500.00
TOTAL
2011091-0
Schedule E
Payments Made
SCHEDULE E
Statement covers period
from
CALIFORNIA
FORM
07/01/2015
Page 11
through 12/31/2015
460
of 16
NAME OF FILER
I.D. NUMBER
742552
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
OR
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
DESCRIPTION OF PAYMENT
AMOUNT PAID
$2,950.77
CTB
$1,500.00
$3,315.87
SUBTOTAL
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Payments made this period of $100 or more. (Include all Schedule E subtotals.) ..................................................................................................
$9,420.01
$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.) ............................
$9,420.01
TOTAL
2011091-0
Schedule E
(Continuation Sheet)
Payments Made
SCHEDULE E (CONT.)
Statement covers period
from
07/01/2015
Page 12
through 12/31/2015
CALIFORNIA
FORM
460
of 16
NAME OF FILER
I.D. NUMBER
742552
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
OR
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
DESCRIPTION OF PAYMENT
AMOUNT PAID
$1,653.37
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
SUBTOTAL
$9,420.01
2011091-0
SCHEDULE F
Type or print in ink.
Amounts may be rounded
to whole dollars.
Schedule F
Accrued Expenses (Unpaid Bills)
07/01/2015
through 12/31/2015
CALIFORNIA
FORM
Page 13
460
of 16
I.D. NUMBER
742552
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF CREDITOR
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE OR
DESCRIPTION OF PAYMENT
(a)
OUTSTANDING
BALANCE BEGINNING
OF THIS PERIOD
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
(b)
AMOUNT INCURRED
THIS PERIOD
(c)
AMOUNT PAID
THIS PERIOD
(ALSO REPORT ON E)
(d)
OUTSTANDING
BALANCE AT CLOSE
OF THIS PERIOD
SUBTOTALS
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.) ..........................................................
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.)............................................
PAID TOTALS
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
on the Summary Page, Column A, Line 9.).........................................................................................................................................................................................
NET
May be a negative number.
2011091-0
Schedule G
Payments Made by an Agent or Independent
Contractor (on Behalf of This Committee)
SCHEDULE G
Statement covers period
from
07/01/2015
through 12/31/2015
CALIFORNIA
FORM
Page 14
460
of 16
I.D. NUMBER
742552
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
NAME AND ADDRESS OF PAYEE OR CREDITOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
Phil's Catering
Grover Beach, CA 93433
FND
$891.00
Eric Truong
San Luis Obispo, CA 93401
OFC
$2,080.00
Eric Truong
San Luis Obispo, CA 93401
OFC
$1,472.00
Eric Truong
San Luis Obispo, CA 93401
OFC
$736.00
TOTAL* $5179.00
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC
2011091-0
SCHEDULE H
Schedule H
Loans Made to Others*
CALIFORNIA
FORM
07/01/2015
Page 15
through 12/31/2015
of 16
I.D. NUMBER
NAME OF FILER
460
742552
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
(a)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
(b)
AMOUNT
LOANED THIS
PERIOD
(c)
REPAYMENT OR
FORGIVENESS
THIS PERIOD*
(d)
OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD
(e)
INTEREST
RECEIVED
(f)
ORIGINAL
AMOUNT OF
LOAN
(g)
CUMULATIVE
LOANS
TO DATE
CALENDAR YEAR
PAID
%
RATE
PER ELECTION**
FORGIVEN
DATE DUE
DATE INCURRED
PAID
CALENDAR YEAR
%
RATE
PER ELECTION**
FORGIVEN
DATE DUE
DATE INCURRED
SUBTOTALS
(Enter (e) on
Schedule I, Line 3)
Schedule H Summary
1. Loans made this period ......................................................................................................................................
(Total Column (b) plus unitemized loans less than $100.)
** If Required
NET
2011091-0
Schedule I
Miscellaneous Increases to Cash
SCHEDULE I
from
07/01/2015
CALIFORNIA
FORM
460
through
12/31/2015
Page 16
of 16
NAME OF FILER
I.D. NUMBER
DATE
RECEIVED
742552
AMOUNT OF
INCREASE TO CASH
DESCRIPTION OF RECEIPT
SUBTOTAL $.00
Schedule I Summary
1. Increases to cash of $100 or more this period.......................................................................................................................................
$.00
$.00
3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).................................................
$.00
4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the
Summary Page, Line 14.) ..........................................................................................................................................................
TOTAL $.00
FPPC Form 460 (June/01)
FPPC Toll-Free Helpline: 866/ASK-FPPC