Schedule A Monetary Contributions Received
Amounts may be rounded to whole dollars.
SCHEDULE A
460
Statement covers period
CALIFORNIA FORM
7/1/XX
from
xx
xx
12/31/XX
Page
of
through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
I.D. NUMBER
Manuel Alvarez for Mayor 20XX
12344XX
1
2
3
4
5
6
7
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31)
PER ELECTION TO DATE (IF REQUIRED)
AMOUNT RECEIVED THIS PERIOD
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER, IF LLC, REFER TO INSTRUCTIONS FOR WHAT TO ENTER.)
DATE RECEIVED
CONTRIBUTOR CODE *
IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY SCC
9/2/XX Joey's Super Market 500 North Mesa Street Oakmont, CA 95443
$5,000
$5,000
10/15/XX Martin Developers 1650 Wingfield Road Oakmont, CA 95443
$198
$198
Intermediaries: Marcus Brown $99 325 Richmond Road, Oakmont, CA 95443
Bookkeeper, Martin Developers
Ashley Green $99 448 Harbor Drive Oakmont, CA 95443
Sales Representative, Martin Developers
12/15/XX Angel Trujillo
Requested
$75
$300
6688 Fourth Avenue Oakmont, CA 95443
SUBTOTAL $
5,273
8
Schedule A Summary 1. Amount received this period – itemized monetary contributions.
*Contributor Codes IND – Individual COM – Recipient Committee
5,273 1,500
(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 $
(other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee
6,773
FPPC Form 460 (Feb/2021) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov
CLEAR FORM
PRINT FORM
E. Completing the Form 460 Schedule A (Monetary Contributions Received)
Schedule A is used to report monetary contributions received by the committee, except for loans received, which are reported on Schedule B. Payments received for repayments on loans made to others are reported on Schedule H. Payments received that are not contributions, loans, or repayments of loans made to others, are reported as miscellaneous increases to cash on Schedule I.
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 9.19
Campaign Manual 2 August 2023
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