460
from
12/31/XX
xx
xx
through
of
Page
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
I.D. NUMBER
Manuel Alvarez for Mayor 20XX
12344XX
CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31)
Amounts may be rounded to whole dollars. IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT/ FAIR MARKET VALUE
PER ELECTION TO DATE (IF REQUIRED)
Schedule C Nonmonetary Contributions Received FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DATE RECEIVED
CONTRIBUTOR CODE *
DESCRIPTION OF GOODS OR SERVICES
SCHEDULE C
460 N/A
Statement covers period
CALIFORNIA FORM
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 IND COM OTH PTY SCC IND COM OTH PTY SCC IND COM OTH PTY
Genesis Insurance Company 850 F Street Oakmont, CA 95443
Food for Fundraiser
7/1/XX 12/31/XX
from
9/25/XX
$1,500
$1,500
✔
xx
xx
through
of
Page
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
I.D. NUMBER
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Citizens for Improving Oakmont (ID 116787XX) 1275 Main Street, Oakmont, CA 95443
DESCRIPTION OF GOODS OR SERVICES Employee Compensation for Campaign Activities
Manuel Alvarez for Mayor 20XX
12344XX
1
4
5
6
7
N/A
✔
10/1/XX
2
3
$5,000
$5,000
8
CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31)
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
AMOUNT/ FAIR MARKET VALUE
PER ELECTION TO DATE (IF REQUIRED)
CONTRIBUTOR CODE *
DATE RECEIVED
Genesis Insurance Company 850 F Street Oakmont, CA 95443
Food for Fundraiser
N/A
9/25/XX
$1,500
$1,500
✔
Citizens for Improving Oakmont (ID 116787XX) 1275 Main Street, Oakmont, CA 95443
Employee Compensation for Campaign Activities
N/A
✔
10/1/XX
$5,000
$5,000
SUBTOTAL $
Attach additional information on appropriately labeled continuation sheets.
6,500
9
Schedule C Summary 1. Amount received this period – itemized nonmonetary contributions.
*Contributor Codes IND – Individual COM – Recipient Committee
6,500 0
Attach additional information on appropriately labeled continuation sheets. (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 $ Schedule C Summary 1. Amount received this period – itemized nonmonetary contributions. I. Completing the Form 460 Schedule C (Nonmonetary Contributions Received) 1 Date Received A nonmonetary contribution is received on the earlier of the following: (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 $ SUBTOTAL $ Clear Sch C Print Form Clear Sch C Print Form • The date that funds are expended by the contributor for the goods or services; • The date that the candidate or committee obtains possession or control of the goods or services; or
(other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee
6,500
6,500
FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov
*Contributor Codes IND – Individual COM – Recipient Committee
6,500 0
(other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee
6,500
FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov
• The date the committee receives the benefit of the expenditure.
Ex 9.6 - A general purpose committee, in coordination with your committee, printed a brochure advocating your election to the school board. The committee delivered the brochures to your committee headquarters on February 22 and paid the printing bill on March 15. Your committee received the nonmonetary contribution on February 22.
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 9.34
Campaign Manual 2 August 2023
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