Loading...
Kevin Juza for Poway City Council 2022 460 Preelection Amendment 10/04/2022Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7t27/2022 through 9/24/2022 1. Type of Recipient Committee: All committees — Complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part5) 0 Sponsored (Also Complete Part 6) ❑ General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1451934 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Kevin Juza for Poway Clty Council 2022 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Poway CA 92064 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAILADDRESS Date of election if applicable: (Month, Day, Year) 11 /08/2022 2. Type of Statement: Date Stamp RECEIVED O C T 0 4 2022 CITY OF POWAY ITY CLERK'S OFFICE COVER PAGE Page l of I For Official Use Only m Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) m Amendment (Explain below) See Schedule E - Reflecting Donations that were Returned Treasurer(s) NAME OF TREASURER Kevin Fleck MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Poway CA 92064 NAME OF ASSISTANT TREASURER, IF ANY Kevin Juza MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE Poway CA 92064 OPTIONAL: FAX / E-MAIL ADDRESS Treasurer: Asst. Treasurer: 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information con ined erein and in the attached schedules is true and complete. 1 certify under penalty of perjury and r the laws of the State of California that the foregoing is true and correct �� / Z��J , Executed on � By ignat fTreasurerorAssistantTreasurer Da Z Executed on �L g —y mate Signature of Controlling Officeh r, Can ate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date 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 Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE SUMMARY PAGE Statement covers period from 7/27/2022 through 9/24/2022 page �2 of A NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line $ 5,500 $ 5,500 2. Loans Received................................................................ Schedule B,Line 3 3,700 3,700 1/1 through 6/30 711 to Date 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 9 200 $ $ 9,200 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 9.200 $ 9,200 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 4,246 $ 4,246 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 4,246 $ 4,246 9. Accrued Expenses (Unpaid Bills Schedule F, Line 3 0 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 4,246 $ 4,246 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0 13. Cash Receipts........................................................... column A, Line 3 above 9,200 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 15. Cash Payments......................................................... column A, Line 8 above 4,246 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 4,954 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule8, Part2 $ 0 1 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0_ 19. Outstanding Debts .............................. Add Line 2 +Line gin Column 8 above $ 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) FS W 9 `Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: adviceCMfppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A 4n � 6^1n Ai 11 Monetary Contributions Received `""""`" """' Statement covers period from 07/27/2022 CALIFORNIA _ SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page of NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/22/22 Joy Hou Z IND Metis Real Estate Network $250 $250 ❑ COM CEO Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 8/22/22 Tina Young OIND LeSar Development $100 $100 ❑ COM Operations Manager Spring Valley, CA 91978 ❑ OTH ❑ PTY ❑ SCC 8/23/22 Chia Hou Z IND Retired $250 $250 ❑ COM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 8/23/22 Peter Babich m IND Retired $250 $250 ❑ coM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 8/23122 Jelena Radibratovic m IND Electrical Consultants Inc $250 $250 ❑ coM General Manager San Diego, CA 92127 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1100 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.) 4,950 $ 550 *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 TOTAL $ 5,500 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT) monetary c:ontriautions Keceived to wnoie aouars. Statement covers period from 07/27/2022 , , FORM through 09/24/2022 Page _ of Ol NAME OF FILER I.D. NUMBER Kevin Juza for Poway Clty Council 2022 1451934 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IFAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/23/22 Lawrence Ott 0 IND Southwest Airline $100 $100 ❑ coM Pilot Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 8/23/22 Pamela Meuser m IND Retired $100 $100 ❑ COM Denver, CA 80238 ❑ OTH ❑ PTY ❑ SCC 8/25/22 Jana Johnson IND Retired $200 $200 ❑ COM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 8/26/22 Phyllis Collins m IND Retired $200 $200 ❑ coM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 8/27/22 Poway Democratic Club FPPC #1445238 ❑ IND $250 $250 P.O. Box 28 0 COM Poway, CA 92064 ❑ OTH ❑ PTY SCC SUBTOTAL $ 850 *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 (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary GOntrlbutionS Received to wnoie aonars. Statement covers period CALIFORNIA from 7/27/2022 FORM • through 9/24/2022 Page of NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 8/29/22 George Juza IND Retired $250 $250 El Avon, IN 46123 El OTH ❑ PTY ❑ SCC 9/1/22 Phil Factor Z IND Retired $250 $250 ❑ coM Youngsville, NM 87064 ❑ OTH ❑ PTY ❑ SCC 9/1/22 Adam Dutra Z IND San Diego Police $200 $200 ❑ coM DNA Technial Manager San Diego, CA 92127 ❑ OTH ❑ PTY ❑ SCC 9/1/22 Karen Cardno m IND Game Chaning $150 $150 ❑ coM Technology, Inc. San Diego, CA 92127 El 0OTHO PTY Operations Manager ❑ scc 9/2/22 Christian Thompson m IND Goodyear Tire $250 $250 ❑ coM Manager Kalamazoo, MI 49009 ❑ OTH ❑ PTY SCC SUBTOTAL $ 1100 *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) Amounts may be rounded SCHEDULE A (CONT.) IYIUfieidry Gunir buxiori5 Received LU W11UM uuudr'' Statement covers period from 7/27/2022 • - through 9/24/2022 Page _ of NAME OF FILER I.D. NUMBER l Kevin Juza for Poway City Council 2022 1451934 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/5/22 James Gavigan D IND MahlGaming $250 $250 ❑ coM Programmer Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 9/7/22 Kevin Fleck Z IND Caring Cottages LLC $250 $250 ❑ coM Senior Care Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 9/11 /22 Amit Asaravala Z IND Drupal & jQuery $250 $250 ❑ coM Web Developer Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 9/13/22 Diane Levey m IND Unemployed $100 $100 ❑ coM San Diego, CA 92127 ❑ OTH ❑ PTY ❑ SCC 9/14/22 Hiram Soto m IND Center for Sustainable $250 $250 ❑ coM Energy Poway, CA 92064 0OTHO PTY Marketing Director scC SUBTOTAL $ 1100 `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 (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary l.on-triDullonS Received LU wnvie uuuars. Statement covers periodW from 7/27/2022 CA •- ' FORM through 9/24/2022 Page_ of f NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR * CODE OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME) RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE,ALSO ENTER I.D. NUMBER) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/15/22 Steve Cobb OIND Retired $100 $100 ❑ COM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 9/15/22 Stephanie Cole m IND Retired $250 $250 ❑ coM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 9/22/22 Nicholas Carruthers Z IND Unemployed $250 $250 ❑ coM Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC 9/24/22 Shannon Ingersoll m IND Neurocrine Biosciences $200 $200 ❑ coM Director Poway, CA 92064 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY SCC SUBTOTAL $ 800 *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 Amnintc mw he —nd—1 SCHEDULE B - PART 1 acneauie ti — Iran'i to whole dollars. Statement covers period 11111111 Loans Received • _ NI • 460 from 07/27/2022 .• SEE INSTRUCTIONS ON REVERSE through 09/24/2022 Page V off NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 FULL NAME, STREET ADDRESS AND ZIP CODE IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING AMOUNT ° AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL e CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD- BALANCE AT CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE NAME OF BUSINESS) PERIOD PERIOD Kevin Juza Self Employed ❑ PAID CALENDAR YEAR 14701 To Fulfillment $ o $100 N/A $ 100 $ N/A ❑FORGIVEN PER ELECTIONi"` Poway, CA 92064 RATE 0 100 s 0 12/31 /22 0 8/3/22 N/A t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEINCURRED DATE DUE Kevin Juza Self Employed PAID CALENDAR YEAR 14701 To Fulfillment 0 $ 2,500 $ N/A ' 2,500 2,600 $ ❑ FORGIVEN Poway, CA 92064 RATE - .- PER ELECTION 0 2,500 s 0 12/31/22 $ 0 8/9/22 $ 2,600 t ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ DATE DUE DATE INCURRED Kevin Juza Self Employed ❑ PAID CALENDAR YEAR 14701 To Fulfillment $ o $ 1,100 N/A $. 1,100 $ 3,700 ❑ FORGIVEN Poway, CA92064 RATE PER ELECTION- $— 0 $ 1,100 $ 0 12/31 /22 $ 0 8/15/22 $ 3,700 t Ij IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 3,700 $ 0 $ 3,700 $ 0 Schedule B Summary 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 or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............................... Enter the net here and on the Summary Page, Column A, Line 2. `Amounts forgiven or paid by another party also must be reported on Schedule A. -- If required. $ 3,700 ................$ 0 ....... NET $ 3,700 (May be a negative number) teuiei te) Lin wneuuie q Line a/ 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 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Kevin Juza for Poway City Council 2022 Amounts may be rounded to whole dollars. Statement covers period from 07t27/2022 through 09/24/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page �� of I.D. NUMBER 1451934 CMP campaign paraphernalia/misc. MBR member communications RAID 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Poway FIL 2022 Candidate Statment $1,000 13325 Civic Center Drive Poway, CA 92064 Futura Color LIT Printing of Yard Signs and FLyers $967 12150 Paine Place Poway, CA 92064 Futura Color LIT Flyers and Car Magnets $784 12150 Paine Place Poway, CA 92064 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2751 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.) . 3,706 $ 540 ............................... $ 0 .................. TOTAL $ 4,246 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT. ) Amounts may be rounded Statement aement covers period p • . - . 1 (Continuation Sheet) to whole dollars. Payments Made, from 07/27/2022 • • " SEE INSTRUCTIONS ON REVERSE through 09/24/2022 a page of NAME OF FILER I.D. NUMBER Kevin Juza for Poway City Council 2022 1451934 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 RAID 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID San Diego County Democratic Party CMP Canvasing Applicaiton 300 3934 Murphy Canyon Rd, Unit B103 San Diego, CA 92123 MK Signs LIT Banners for Parade and Sign Waiving 129 12675 Danielson Ct, Unit 410 Poway, CA 92064 Poway Rotary Foundation MTG Parade Entry Fee 125 P.O. Box 184 Poway, CA 92074-0184 PayPal, Inc PRO Transactions Fees for Online Donations $101 2211 N. 1st Street San Jose, CA 95131 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 655 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period SCHEDULE E (CONT) CALIFORNIA ' Payments Made from 7/27/2022 FORM SEE INSTRUCTIONS ON REVERSE through 9/24/2022 Page _L[_ of NAME OF FILER Kevin Juza for Poway City Council 2022 I.D. NUMB NUMB ER 1451934 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 RAID 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Poway Democratic Club FPPC #1445238 P.O. Box 28 Poway, CA 92064 RFD $250 R.B. Democratic Club P.O. Box 270191 San Diego, CA 92128 RFD $50 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 300 FPPC Form 460 (Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov