Form 460 - Recipient Committee Campaign Statement Cover Page Page 45

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Schedule G (Continuation Sheet)
SCHEDULE G (CONT.)
Statement covers period
Payments Made by an Agent or Independent
Amounts may be rounded
CALIFORNIA
460
to whole dollars.
Contractor (on Behalf of This Committee)
07/01/2016
FORM
from
12/31/2016
through
Page
45
of
50
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Lisa Bartlett for Supervisor 2018
1359658
NAME OF AGENT OR INDEPENDENT CONTRACTOR
American Express
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
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
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing 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.
NAME AND ADDRESS OF PAYEE OR CREDITOR
CODE
OR
DESCRIPTION OF PAYMENT
AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CostCo Wholesale
OFC
6.49
Federal Express
POS
21.67
Habana
MTG
12/16 Staff Holiday Luncheon - 9 Attendees including
421.72
Officeholder
See's Candy
OFC
27.85
Attach additional information on appropriately labeled continuation sheets.
TOTAL* $
477.73
* Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or
independent contractor as reported on Schedule E.
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)

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