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CA Form 460 Recipient Committee Semi-Annual Campaign Statement (Jan - July 2017) - Dave Emenhiser f ndrs"1iV rI) Recipient Committee �F Pik/ t COVER PAGE Campaign Statement �oP '" "" ' CALIFORNIA 460 Cover Page CTIYOF RANCHO PALOS VERD FORM Statement covers period Date of election if applicable:,UL 1 9 2017 Page / of '7 Jan. 1, 2017 (Month,Day,Year) For Official Use Only from June 30,2017 Nov.7,20C1?.0 � �` r, SEE INSTRUCTIONS ON REVERSE through 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: [EI Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee Pi Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement (Al so Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) 0 General Purpose Committee 0 Amendment(Explain below) 0 Sponsored 0 Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER 1397259 Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Dave Emenhiser for City Council 2017 Robert A. Nelson MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 310-544-4632 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Rancho Palos Verdes CA 90275 310-944-8404 ---- MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS --- CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Rolling Hills Estates CA 90274 310-944-8404 --- OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my Date Signa re of Controlling Officeholder, andidate,-, easure ProponeffFerR�sponsible Officer of Sponsor 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 COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM 460 Cover Page — Part 2 Page 2 of 13 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Dave Emenhiser ---- OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Rancho Palos Verdes City Council ❑ OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Rancho Palos Verdes CA 90275 Identify the controlling officeholder,candidate,or state measure proponent,if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. El YES El NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD El SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑YES I=1 NO El SUPPORT El OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summary Page to whole dollars. Statement covers period CALIFORNIA Jan. 1,2017 FORM 460 from June 30,2017 SEE INSTRUCTIONS ON REVERSE through Page of 1 NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 1000.00 1000.00 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ ----0.00 ----0.00 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1000.00 1000.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ ----0.00 $ ----0.00 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 21. Expenditures 1000.00 1000.00 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ _ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ ----0.00 $ - -0.00 Candidates 7. Loans Made Schedule H,Line 3 O.00 ----0.00 ----0.00 -- 0.00 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses(Unpaid Bills) Schedule F,Line 3 "' O.00 -- 0.00 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 - -0.00 - -0.00 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ _"- $ --- 0.00 Current Cash Statement _ii $ ----0.00 12. Beginning Cash Balance Previous Summary Page,Line 16 $ To calculate Column B, 13.Cash Receipts Column A,Line 3 above 1000.00 add amounts in Column ----0.00 A to the corresponding *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule 1,Line 4 amounts from Column B reported in Column B. 15.Cash Payments Column A,Line 8 above ----0.00 of your last report. Some 1000.00 amounts in Column A may 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ be negative figures that should be subtracted from If this is a termination statement,Line 16 must be zero. previous period amounts. If ----0.00 this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. Cash Equivalents See instructions on reverse $ ----0.00 any). ----0.00 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period Jan. 1, 2017 CALIFORNIA 460 from FORM June 30, 2017 13 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Robert A. Nelson RI IND 6/28/17 ❑COM None 500.00 500.00 Rancho Palos Verdes, CA 90275 ❑OTH ❑PTY ❑scC Sandra M. Nelson 0 IND 6/28/17 ❑COM None 500.00 500.00 Rancho Palos Verdes, CA 90275 ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑ OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions. 1000.00 IND-Individual (Include all Schedule A subtotals.) $ COM-Recipient Committee 0.00 (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 $ OTH-Other(e.g.,business entity) PTY-Political Party 3. Total monetary contributions received this period. 1000.00 SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule B — Part 1 Amounts may be rounded SCHEDULE B-PART 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received from Jan. 1, 2017 FORM SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page S of )3 NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 lig FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL,ENTER OUTSTANDING (b) (c) (d) (e) (f) (g) OCCUPATION AND EMPLOYER AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER (IF SELF-EMPLOYED,ENTER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD . CLOSE OF THIS PERIOD LOAN TO DATE PERIOD THIS PERIOD PERIOD O PAID CALENDAR YEAR $ $ % $ $ 1:1FORGIVEN RATE PER ELECTION*' $ $ t❑ IND 0 COM 0 OTH ❑ PTY 0 SCC $ DATE DUE $ DATE INCURRED- $ ❑PAID CALENDAR YEAR $ $ % $ $ RATE 0 FORGIVEN PER ELECTION*" It❑ IND 0 COM 0 0TH ❑ PTY ❑ SCC $ $ $ DATE DUE $ DATE INCURRED $ ❑PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND 0 COM 0 0TH 0 PTY 0 SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ ----0.00 (Total Column (b) plus unitemized loans of less than$100.) tContributor Codes 2. Loans paid or forgiven this period $ ----0.00 IND-Individual (Total Column (c)plus loans under$100 paid or forgiven.) COM-Recipient CPmmittee (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) 0TH-Other(e.g.,business entity) PTY-Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ ----0.00 SCC-Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016) **If required. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE B-PART 2 Schedule B— Part 2 Amounts may be rounded Statement covers period Loan Guarantors to whole dollars. CALIFORNIA 460 Jan. 1,2017 FORM from June 30,2017 of SEE INSTRUCTIONS ON REVERSE through Page 13 NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER AMOUNT BALANCE ZIP CODE OF GUARANTOR CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER TO DATE NAME OF BUSINESS) THIS PERIOD TO DATE LENDER CALENDAR YEAR ❑IND ❑COM $ ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC $ CALENDAR YEAR ❑IND LENDER ❑COM $ 0 OTH PER ELECTION DATE (IF REQUIRED) ❑PTY ❑SCC CALENDAR YEAR El IND LENDER ❑COM $ ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC $ LENDER CALENDAR YEAR ❑IND ❑COM $ ❑OTH DATE PER ELECTION (IF REQUIRED) ❑PTY ❑SCC $ Enter on SUBTOTAL $ ----0.00 Summary Page, Line 17 only. FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C NonmonetaryContributions Received to whole dollars. period Statement covers rl CALIFORNIA 460 from Jan. 1,2017 FORM SEE INSTRUCTIONS ON REVERSE through June 30,2017 Page '7 13 3 NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 IF AN INDIVIDUAL,ENTER AMOUNT! CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE CALENDAR YEAR NAME OF BUSINESS) (JAN 1-DEC 31) (IF REQUIRED) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC 0 IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary 1. Contributor Codes 1. Amount received this period-itemized nonmonetary contributions. ----0.00 IND-Individual (Include all Schedule C subtotals.) $ COM-Recipient Committee ----0.00 (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100 $ OTH-Other(e.g.,business entity) PTY-Political Party 3. Total nonmonetary contributions received this period. ----0.00 SCC-Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule D Summaryof Expenditures Amounts may be rounded SCHEDULE D p Statement covers period Supporting/OpposingOther to whole dollars. CALIFORNIA 460 from Jan. 1, 2017 FORM Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE through June 30,2017 Page 8 of 13 NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE TYPE OF PAYMENT AMOUNT THIS MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) CALNNDAR YEAR TO DATE OR COMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution o Independent ❑ Support 0 Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent El Support El Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution o Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ ----0.00 2. Unitemized contributions and independent expenditures made this period of under$100 $ ----0.00 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL.. $ ----0.00 FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E to whole dollars. Statement covers period CALIFORNIA 460 Payments Made Jan. 1,2017 FORM from June 30, 2017 SEE INSTRUCTIONS ON REVERSE through Page of ` NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals IND independent expenditure supporting/opposing others(explain)* POS postage,delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(legal,accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ----0.00 Schedule E Summary ----0.00 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2. Unitemized payments made this period of under$100 $ ----0.00 ----0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) $ ----0.00 4. Total payments made this period. (Add Lines 1,2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE F Schedule F Amounts may be rounded Statement covers period CALIFORNIA 460 to whole dollars. Accrued Expenses (Unpaid Bills) Jan. 1, 2017 FORM from through June 30,2017 1 2 SEE INSTRUCTIONS ON REVERSE Page 0 of NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals IND independent expenditure supporting/opposing others(explain)* POS postage,delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(legal,accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(intemet,e-mail) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT IN( ( (c) (A) INCURRED AMOUNT PAID OUTSTANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD *Payments that are contributions or independent expenditures must also be SUBTOTALS $ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b)subtotals for ----0.00 accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.) INCURRED TOTALS$ 2. Total accrued expenses paid this period. (Include all Schedule F, Column(c)subtotals for payments on ----0.00 accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.) PAID TOTALS$ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and ----0.00 on the Summary Page, Column A, Line 9.) NET$ May be a negative number FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule G SCHEDULEG Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Jan. 1, 2017 CALIFORNIA /� CVO Contractor (on Behalf of This Committee) to whole dollars. from FORM `F June 30,2017 (' 13 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 NAME OF AGENT OR INDEPENDENT CONTRACTOR none CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel,lodging,and meals IND independent expenditure supporting/opposing others(explain)* POS postage,delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(legal,accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(intemet,e-mail) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additional information on appropriately labeled continuation sheets. TOTAL* $ ----0.00 *Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460(Jan/2016) independent contractor as reported on Schedule E. FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Statement covers period NIA 460 Loans Made to Others* to whole dollars. from Jan. 1, 2017 CALIFORNIA SEE INSTRUCTIONS ON REVERSE through June 30,2017 Page ( 2' of 3 NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 IF AN INDIVIDUAL,ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE (IF COMMITTEOE,ALSOF RENITERT.D.NUMBER) OCCUPATION BALANCE AT P AND EMPLOYER BEGINNING THIS BALANCE LOANED THIS FORGIVENESS C OSE OF THIS RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD LOAN TO DATE ❑PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ $ $ DATE DUE DATE INCURRED ❑PAID CALENDAR YEAR $ $ % $ $ RATE ❑FORGIVEN PER ELECTION** $ $ $ $ $ DATE DUE 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. SUBTOTALS $ $ $ $ (Enter(e)on Schedule I,Line 3) Schedule H Summary 1. Loans made this period $ ----0.00 (Total Column(b) plus unitemized loans of less than$100.) **If Required 2. Payments received on loans $ ----0.00 (Total Column(c) plus unitemized payments of less than$100.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ ----0.00 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule I Amounts may be rounded SCHEDULE I Miscellaneous Increases to Cash to whole dollars. Statement covers period CALIFORNIA 460 Jan. 1, 2017 FORM from through June 30,2017 Page 13 of i3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Dave Emenhiser for City Council 2017 1397259 DATE FULL NAME AND ADDRESS OF SOURCE DESCRIPTION OF RECEIPT AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period. $ ----0.00 2. Unitemized increases to cash of under$100 this period. $ ----0.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $ ----0.00 4. Total miscellaneous increases to cash this period. (Add Lines 1,2, and 3. Enter here and on the ----0.00 Summary Page, Line 14.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov