Recipient Committee Campaign Statement

Form 460 Instructions

Part 1 of 19: Statement Covers Period





Part 2 of 19: Type of Recipient Committee

All Committees Complete Parts 2, 3, 4, and 5.



Also Complete Part 6






Also Complete Part 7

Also Complete Part 8


Part 3 of 19: Type of Statement








Part 4 of 19: Committee Information






























Part 5 of 19: Verification

Please fill in dates, print, and have signed by the Treasurer or Assistant Treasurer in the first line and, the Controlling Officeholder, State Measure Proponent, or Responsible Officer of Sponsor on the following three lines.






Part 6 of 19: Officeholder or Candidate Controlled Committee







First Related Committees Not Included in this Statement

List any committees not included in this statement that are controlled by you or are the primarily formed to receive contributions or make expenditures on behalf of your candidacy.




Is this a controlled Committee?








Second Related Committees Not Included in this Statement

List any committees not included in this statement that are controlled by you or are the primarily formed to receive contributions or make expenditures on behalf of your candidacy.




Is this a controlled Committee?









Part 7 of 19: Primarily Formed Ballot Measure Committee






Identify the controlling officeholder, candidate, or state measure proponent, if any.





Part 8 of 19: Primarily Formed Candidate/Officeholder Committee

List names of officeholder(s) or candidate(s) for which this committee is primarily formed

First Officeholder or Candidate




Second Officeholder or Candidate




Third Officeholder or Candidate




Fourth Officeholder or Candidate





Part 9 of 19: Disclosure Statement

Column A amounts will reflect attached schedules.

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).

 

Contributions Received

1. Monetary Contributions (Schedule A, Line 3)



2. Loans Recieved (Schedule B, Line 3)



3. Subtotal Cash Contributions (Add Lines 1 and 2)



4. Nonmonetary Contributions (Schedule C, Line 3)



5. Total Contributions Received (Add Lines 3 and 4)



Expenditures Made

6. Payments Made (Schedule E, Line 4)



7. Loans Made (Schedule H, Line 3)



8. Subtotal Cash Payments (Add Lines 6 and 7)



9. Accrued Expenses (Unpaid Bills) (Schedule F, Line 3)



10. Nonmonetary Adjustment (Schedule C, Line 3)



11. Total Expenditures Made (Add Lines 8, 9, and 10)



Current Cash Statement

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).

12. Beginning Cash Balance (Previous Summary Page, Line 16)


13. Cash Receipts (Column A, Line 3 above)


14. Miscellaneous Increases to Cash (Schedule I, Line 4)


15. Cash Payments (Column A, Line 8 above)


16. Ending Cash Balance (If this a termination statement, Line 16 must be zero) (Add Lines 12, 13, 14, then subtract Line 15)


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).

17. Loan Guarantees Received (Schedule B, Part 2)


Cash Equivalents and Outstanding Debts

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).

18. Cash Equivalents (See instructions)


19. Outstanding Debts (Add Line 2 and 9 in Column B above)


Calendar Year Summary for Candidates Running in Both the State Primary and General Elections

20. Contributions Received



Expenditures Made



Expenditure Limit Summary for State Candidates

Amounts in this section may be different from amounts reported in Column B.

22. Cumulative Expenditures Made (If subjet to voluntary expenditure limit)







Part 10 of 19: Schedule A - Monetary Contributions Received

Amounts may be rounded to whole dollars

First Contribution Received



Contribuor Code









Second Contribution Received



Contribuor Code









Third Contribution Received



Contribuor Code









Fourth Contribution Received



Contribuor Code









Fifth Contribution Received



Contribuor Code









Subtotal


Sixth Contribution Received



Contribuor Code









Seventh Contribution Received



Contribuor Code









Eigth Contribution Received



Contribuor Code







  (JAN. 1 - DEC. 31)

Ninth Contribution Received



Contribuor Code







  (JAN. 1 - DEC. 31)

Tenth Contribution Received



Contribuor Codew









Subtotal


Schedule A Summary





Part 11 of 19: Schedule B - Part 1: Loans Recevied

First Loan Received


Contributor Code








C. Amount Paid or Forgiven This Period. Amounts forgiven or paid by another party must also be reported on Schedule A.


OR




E. Interest Paid This Period





G. Cumulative Contributions to Date



Second Loan Received


Contributor Code








C. Amount Paid or Forgiven This Period. Amounts forgiven or paid by another party must also be reported on Schedule A.


OR




E. Interest Paid This Period





G. Cumulative Contributions to Date



Third Loan Received


Contributor Code








C. Amount Paid or Forgiven This Period. Amounts forgiven or paid by another party must also be reported on Schedule A.


OR




E. Interest Paid This Period





G. Cumulative Contributions to Date



Subtotals





Schedule B Summary





Part 12 of 19: Schedule B - Part 2: Loan Guarantors

Amounts may be rounded to whole dollars

First Loan Guarantors


Contributor Code






Loan




Cumulative To Date




Second Loan Guarantors


Contributor Code






Loan




Cumulative To Date




Third Loan Guarantors


Contributor Code






Loan




Cumulative To Date




Fourth Loan Guarantors


Contributor Code






Loan




Cumulative To Date




Subtotal



Part 13 of 19: Schedule C - Nonmonetary Contributions Received

Amounts may be rounded to whole dollars.

Attach additional information on appropriately labeled continuation sheets.

First Nonmonetary Contribution Received



Contributor Code










Second Nonmonetary Contribution Received



Contributor Code










Third Nonmonetary Contribution Received



Contributor Code










Fourth Nonmonetary Contribution Received



Contributor Code










Subtotal


Schedule C Summary





Part 14 of 19: Schedule D - Summary of Expenditures Supporting/Opposing Other Candidates, Measures, and Committees

Amounts may be rounded to whole dollars.

First Expenditure




Type of Payment







Second Expenditure




Type of Payment







Third Expenditure




Type of Payment







Subotal


Fourth Expenditure




Type of Payment







Fifth Expenditure




Type of Payment







Sixth Expenditure




Type of Payment







Seventh Expenditure




Type of Payment







Subtotal


Schedule D Summary




Part 15 of 19: Schedule E - Payments Made

If one of the following codes accurately describes the payment, you may enter tht code. Otherwise, describe the payment.

Payments that are contributions or independenty expenditures must also be summarized on Schedule D.

First Payment Made



OR



Second Payment Made



OR



Third Payment Made



OR



Subtotal


Fourth Payment Made



OR



Fifth Payment Made



OR



Sixth Payment Made



OR



Seventh Payment Made



OR



Eigth Payment Made



OR



Subtotal


Schedule E Summary





Part 16 of 19: Schedule F - Accrued Expenses (Unpaid Bills)

Amounts may be rounded to whole dollars.

Payments that are contributions or independent expenditures must also be summarized on Schedule D.

First Accrued Expense







Second Accrued Expense







Third Accrued Expense







Subtotal

Subtotals for Coulmns A, B, C, and D for rows One through Three





Fourth Accrued Expense







Fifth Accrued Expense







Sixth Accrued Expense







Seventh Accrued Expense







Subtotal

Subtotals for Coulmns A, B, C, and D for rows Four through Seven





Schedule F Summary





Part 17 of 19: Schedule G - Payments Made by an Agent or Independent Contractor (on Behalf of This Committee)

Attach additional information on appropriately labeled continuation sheets.

Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E.


Amounts may be rounded to whole dollars.

Payments that are contributions or independent expenditures must also be summarized on Schedule D.

First Payment Made by an Agent or Independent Contractor



OR



Second Payment Made by an Agent or Independent Contractor



OR



Third Payment Made by an Agent or Independent Contractor



OR



Fourth Payment Made by an Agent or Independent Contractor



OR



Total



Part 18 of 19: Schedule H - Loans Made to Others

Amounts may be rounded to whole dollars.

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.

First Loan Made





C. Repayment of Forgiveness This Period



OR



D. Outstanding Balance at Close of This Period



E. Interest Received



F. Original Amount of Loan



G. Cumulative Loans to Date



Second Loan Made





C. Repayment of Forgiveness This Period



OR



D. Outstanding Balance at Close of This Period



E. Interest Received



F. Original Amount of Loan



G. Cumulative Loans to Date



Subtotals





Schedule H Summary





Part 19 of 19: Schedule I - Miscellaneous Increases to Cash

Amounts may be rounded to whole dollars.

Attach additional information on appropriately labeled continuation sheets.

First Miscellaneous Increase to Cash





Second Miscellaneous Increase to Cash





Third Miscellaneous Increase to Cash





Fourth Miscellaneous Increase to Cash





Fifth Miscellaneous Increase to Cash





Subtotal


Schedule I Summary





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