This chapter discusses how to complete the Form 460 and provides examples for each type of campaign activity that may have to be reported. The Forms 450 and 425 are available on the FPPC’s website and include detailed instructions for completing the forms.
COVER PAGE
Recipient Committee Campaign Statement Cover Page
460
Date Stamp
CALIFORNIA FORM
A
B
xx
xx
Page
of
Statement covers period
Date of election if applicable: (Month, Day, Year)
For Official Use Only
7/1/XX
from
12/31/XX
SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.
1
2
2. Type of Statement:
Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below)
✔
Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall (Also Complete Part 5)
Primarily Formed Ballot Measure Committee
Quarterly Statement Special Odd-Year Report
✔
Controlled Sponsored (Also Complete Part 6)
General Purpose Committee Sponsored
Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7)
Small Contributor Committee Political Party/Central Committee
3
I.D. NUMBER
3. Committee Information COMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)
Treasurer(s) NAME OF TREASURER Madeline Richards
12344XX
Manuel Alvarez for Mayor 20XX
MAILING ADDRESS
225 Presley Street
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
225 Presley Street
Oakmont
CA 95443
707-555-6868
CITY
STATE
ZIP CODE
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
Oakmont
707-555-6868
CA 95443
MAILING ADDRESS Manuel Alvarez 225 Presley Street Oakmont CITY
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
P.O. Box 1744
CITY
STATE
ZIP CODE
AREA CODE/PHONE
STATE
ZIP CODE
AREA CODE/PHONE
CA 95443
707-555-6868
CA 95434
707-555-6868
Oakmont
OPTIONAL: FAX / E-MAIL ADDRESS
OPTIONAL: FAX / E-MAIL ADDRESS
707-555-6869/mrichards@oakmontmail.com
707-555-6869/mrichards@oakmontmail.com
4
4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
[Signature Required]
[Date Required]
Executed on
By
Date
Signature of Treasurer or Assistant Treasurer
[Signature Required]
[Date Required]
Executed on
By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Date
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
Clear Cover Pg1
Print Form
A. Completing the Form 460 Cover Page A Statement Covers Period
If this is the first statement of the calendar year, the “from” date should be January 1. Otherwise, this date should be the day after the closing date of the most recently filed campaign statement. The closing date depends on the type of statement being filed (e.g., semi-annual, preelection). The period covered will be identified on the filing schedule for the specific election.
Fair Political Practices Commission advice@fppc.ca.gov
Chapter 9.2
Campaign Manual 2 August 2023 Page 288
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