SCHEDULE H 460
Schedule H Loans Made to Others*
Statement covers period
Amounts may be rounded to whole dollars.
CALIFORNIA FORM
7/1/XX
from
12/31/XX
xx
xx
I.D. NUMBER Page 12344XX
of SCHEDULE H
through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER Schedule H Loans Made to Others* Manuel Alvarez for Mayor 20XX
FORM 460
Statement covers period
Amounts may be rounded to whole dollars.
CALIFORNIA
7/1/XX
from
(a)
(f)
(e)
(d)
(g)
(b)
(c)
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
12/31/XX
xx
CUMULATIVE LOANS TO DATE of xx
OUTSTANDING BALANCE BEGINNING THIS PERIOD
FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD
AMOUNT LOANED THIS PERIOD
INTEREST RECEIVED
ORIGINAL AMOUNT OF LOAN I.D. NUMBER Page 12344XX
REPAYMENT OR FORGIVENESS THIS PERIOD *
through
SEE INSTRUCTIONS ON REVERSE NAME OF FILER
CALENDAR YEAR
Committee for Bike Lanes in Oakmont, Yes on Measure E (ID 12456XX) 1500 D Street Oakmont, CA 95443 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) Manuel Alvarez for Mayor 20XX Committee for Bike Lanes in Oakmont, Yes on Measure E (ID 12456XX) 1500 D Street Oakmont, CA 95443
PAID
a
b
c
d
e
g
1
f
1,000
5
1,000
0
1,000
$
$
%
$ PER ELECTION (g)
$
(a)
(f)
RATE (e)
(d)
(b)
(c)
**
IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS)
FORGIVEN
$ OUTSTANDING BALANCE BEGINNING THIS PERIOD 0
DATE DUE OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD None
$ AMOUNT LOANED THIS PERIOD
INTEREST RECEIVED
N/A CUMULATIVE LOANS TO DATE
DATE INCURRED ORIGINAL AMOUNT OF LOAN 7/15/XX
$ REPAYMENT OR FORGIVENESS THIS PERIOD 0 *
1,000
0
$
$
CALENDAR YEAR CALENDAR YEAR
PAID PAID
1,000
5
1,000
0
1,000
$ $
$
%
$ PER ELECTION $ PER ELECTION
$
$
%
RATE RATE
$
**
FORGIVEN FORGIVEN
**
0
1,000
None
0
N/A
0
7/15/XX
$
$
$
$
$
$
$
$
$
$
DATE DUE DATE DUE
DATE INCURRED DATE INCURRED
* Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E.
CALENDAR YEAR
PAID
0
1,000
1,000
0
$
SUBTOTALS $
$ $
$
$
$
%
$ PER ELECTION
RATE
**
(Enter (e) on Schedule I, Line 3)
FORGIVEN
2
$
$
$
$
$
Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ............................................................................................................................................$ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. ( Subtract Line 2 from Line 1.) ............................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) Schedule H Summary 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans ............................................................................................................................................$ (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. ( Subtract Line 2 from Line 1.) ............................................................................................ NET $ (Enter the net here and on the Summary Page, Column A, Line 7.) * Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $ $ $ DATE DUE 1,000 0
DATE INCURRED
1,000
**If Required
0
1,000
$
0
(Enter (e) on Schedule I, Line 3)
1,000
(May be a negative number)
1,000
**If Required
Clear Sch H Print Form R. Completing the Form 460 Schedule H (Loans Made to Others) 1 Recipient Information For each loan of $100 or more that was made or outstanding during the reporting period, provide the recipient’s full name and street address, including the zip code. If the recipient is an individual, provide the individual’s occupation and the name of their employer. If the individual is self-employed, provide the name of their business. Clear Sch H Print Form
FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov 0
1,000
(May be a negative number)
FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov
Loan Amounts a Outstanding Balance Beginning This Period
Enter the outstanding loan balance at the beginning of this reporting period (Column (d) of the last report filed). If the loan was received this period, Column (a) should be left blank. b Amount Loaned This Period Enter the amount loaned to the recipient during this reporting period. If the loan was made in a previous reporting period, Column (b) should be left blank.
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 9.66
Campaign Manual 2 August 2023
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