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Home My WebLink AboutBallesteros Form 460 01-01-2016 through 06-30-2016_RedactedRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2016 through 06/30/2016 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Q Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee 0 Recall (Also Complete Pad 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pat 7) 3. Committee Information I.D. NUMBER 138269E COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Mona Lisa Ballesteros for Dublin City Council 2016 CITY STATE ZIP CODE AREACODE /PHONE Date of election if applicable: (Month, Day, Year) 11/08/2016 COVER PAGE Date Stamp RECI JUL 2 6 20f. a Page 1 of 9 For Official Use Only CITE¢ OF DUBLI 1 CI MANAGI C TICE I 2. Type of Statement: ❑ Preelection Statement Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) El Amendment (Explain below) Treasurer(s) NAME OF TREASURER Linda Perry MAILING ADDRESS ❑ Quarterly Statement ❑ Special Odd -Year Report MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE 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 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 Corr t. Executed on It, zo By Dale Executed on ( /7— i B y Date qi —t. ,rA of — 1 -1fl ,,, nrr,ahHH r` „Hfi,i.�ro KA. —I, o.,,..,..,o„r o..,.. --- Executed on Dale Executed on Dale By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature or Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Mona Lisa Ballesteros OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Councilmember, City of Dublin RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER I CONTROLLED COMMITTEE? [:]YES ❑ NO COMM ITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page 2 of 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate /Officeholder Committee Listnames of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE 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 Summary Page Amounts may be rounded to whole dollars. Statement covers period from 01/01/2016 SUMMARY PAGE Expenditures Made 6. Payments Made ................................. ............................... Schedule e, Line 4 $ 1361.98 7. Loans Made ...................•.................... .... .......................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines s+ 7 $ 1361.98 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment ......................................................... Schedule c, Line 3 0.00 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines s + 9 + 10 $ 1361.98 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 13. Cash Receipts ............................ ............................... Column A, Line 3 above 4100.00 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 0.00 15. Cash Payments ......................................................... Column A, Line 6 above 1361.98 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 2738.02 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents .... ........................................... See instructions on reverse $ 0.0 19. Outstanding Debts ........................... .. Add Line 2 + Line 9 in Column B above $ 1050.00 $ 1361.98 0.00 $ 1361.98 0.00 0.00 $ 1361.98 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). IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) $ I *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov 06/30/2016 3 9 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Mona Lisa Ballesteros for Dublin City Counciil 2016 1382699 Contributions Received Column A TOTAL THIS PERIOD Column B CALENDARYEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 3050.00 3050.00 1. Monetary Contributions .................... ............................... Schedule A, Linea $ $ 1050.00 1050.00 1/1 through 6/30 7/1 to Date 2. Loans Received ........................... .............................., ...... Schedule 8, Line 3 4100.00 4100.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 0.00 0.00 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 21 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................ ............ Add Lines 3 +4 $ 4100.00 $ 4100.00 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... Schedule e, Line 4 $ 1361.98 7. Loans Made ...................•.................... .... .......................... Schedule H, Line 3 0.00 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines s+ 7 $ 1361.98 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 0.00 10. Nonmonetary Adjustment ......................................................... Schedule c, Line 3 0.00 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines s + 9 + 10 $ 1361.98 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 13. Cash Receipts ............................ ............................... Column A, Line 3 above 4100.00 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 0.00 15. Cash Payments ......................................................... Column A, Line 6 above 1361.98 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 2738.02 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents .... ........................................... See instructions on reverse $ 0.0 19. Outstanding Debts ........................... .. Add Line 2 + Line 9 in Column B above $ 1050.00 $ 1361.98 0.00 $ 1361.98 0.00 0.00 $ 1361.98 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). IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) $ I *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A Amounts may be rounded Monetary Contributions Received to whole dollars. Statement covers period from 01/01/2016 SCHEDULE A through 06/30/2016 II ;I 7e77 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Mona Lisa Ballesteros for Dublin City Counciil 2016 1382699 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPLOWD,ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) J71 IND 3/25/16 Mia Teetsel ❑ COM Real Estate Agent 250.00 250.00 250.00 ❑ OTH Better Homes & Gardens ❑ PTY Tri- Valley Realty ❑ SCC V1 IND 3/20/16 Rosel Trolan ❑ COM Real Estate Agent 200.00 200.00 200.00 ❑ OTH Cornerstone Realtors Inc ❑ PTY ❑ SCC V IND 3/20/16 Jeffre Hanc e ❑ coM Self- employed: Jeff and 100.00 100.00 100.00 ❑ OTH Tara Wood You Design ❑ PTY ❑ SCC 3/20/16 Matt Chalker 0 IND ❑ COM Development Manager ❑ OTH Google 250.00 250.00 250.00 ❑ PTY ❑ SCC 3/20/16 Edward Mel oza I3 IND ❑ COM Partner /Self - employed: ❑ OTH E & J Construction and 100.00 100.00 100.00 ❑ PTY Consulting ❑ scc SUBTOTAL $ 900.00 Schedule A Summary 'Contributor Codes 1. Amount received this period - itemized monetary contributions. IND- Individual (Include all Schedule A subtotals.) .......................$ 2900.00 COM - Recipient Committee (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 ...........................$ 150. 00 OTH — Other (e.g., business entity) PTY _political Party 3. Total monetary contributions received this period. SCC - Small contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ 3050.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Amounts may be rounded to whole dollars. from — through nt covers period 01/01 /2016 06/30/2016 SCHEDULE A (CONT.) Page 5 of 9 Mona Lisa Ballesteros for Dublin City Counciil 2016 1382699 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I D NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF- EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) [Z IND Todd Padnos Attorney 3/20/16 ❑ OTH Sheppard, Mullin, Richter 200.00 200.00 200.00 ❑ PTY & Hampton LLP ❑ SCC Sheila Andres ® IND El CoM Director of Product 3/20/16 El OTH Photobucket 100.00 100.00 100.00 ❑ PTY ❑ SCC Ali Ibrahim ® IND El coM Executive Director HIT 3/20/16 OTH El OTH and Analytics 100.00 100.00 ❑ PTY Kaiser Permanente ❑ SCC IND ❑ coM Manager 3/20/16 ❑ OTH SAP Mobile Services 250.00 250.00 250.00 ❑ PTY ❑ SCC Mukesh Idnani ® IND El coM Software Consultant 3/20/16 El OTH VMware 250.00 250.00 250.00 ❑ PTY ❑ SCC SUBTOTAL $ 900,00 "Contributor Codes IND – individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e.g., business entity) PTY – Political Party SCC – Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period ® _ �' • from 01/01/2016 • - U through 06/30/2016 page 6 of 9 NAME OF FILER I.D. NUMBER Mona Lisa Ballesteros for Dublin City Council 2016 1382699 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Puran Moorjani ❑ COM President 3/20/16 ❑ OTH E- Infotek Solutions 500.00 500.00 500.00 ❑ PTY ❑ SCC Purnima Moorjani ® IND ❑ COM President 500.00 3/20/16 El OTH o DPP Technologies 9 500.00 500.00 ❑ PTY ❑ SCC Gre or Heiden la IND E-1 COM Attorney 3/20/16 171 OTH State of CA: CA Public 100.00 100.00 100.00 ❑ PTY Utilities Commission ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1100.00 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov o a Lisa Ballesteros Human Resources ❑ PAID CALENDAR YEAR Dublin San Ramon $ 0.00 500.00 0 , $ 500.00 1050.00 Services District El FORGIVEN FORGIVEN PER ELECTION ** $ 0.00 $ 500.00 $ 0.00 1/1/17 $ 0.00 3/01/16 $ 1050.00 tQ) IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Mona Lisa Ballesteros Human Resources Dublin San Ramon Services District 10 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID s 0.00 $ 500.00 ❑ FORGIVEN. $ 0.00 $ 500.00 $ 0.00 1/1/17 $ DATE DUE SUBTOTALS $ 1050.00$ 0.00 $ 1050.00 $ Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ I n-,n on (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ........................................................................... ..............................$ n nn (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. Subtract Line 2 from Line 1. NET $ lntin no Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) CALENDAR YEAR 0 $ 500.00 $ 1050.00 RATE PER ELECTION'" 0.00 3/09/16 $ 1050.00 DATE INCURRED (Enter (e) on Schedule E, Line 3) tContributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee *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 1 Amounts may be rounded Statement covers period _ Schedule B - Part 1 to whole dollars. Loans Received 01/01/2016 from through 06/30/2016 Page 7 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Mona Lisa Ballesteros for Dublin City Counciil 2016 1382699 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD * CLOSE OF THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR Mona Lisa Ballesteros Human Resourses $ 0.00 $ 50.00 0 , $ 50.00 $ 1050.00 Dublin San Ramon ❑ FORGIVEN PER ELECTION" Services District RATE $ 0.00 $ 50.00 0.00 1/1/17 0.00 2/17/16 $ 1050.00 tIA IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED o a Lisa Ballesteros Human Resources ❑ PAID CALENDAR YEAR Dublin San Ramon $ 0.00 500.00 0 , $ 500.00 1050.00 Services District El FORGIVEN FORGIVEN PER ELECTION ** $ 0.00 $ 500.00 $ 0.00 1/1/17 $ 0.00 3/01/16 $ 1050.00 tQ) IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Mona Lisa Ballesteros Human Resources Dublin San Ramon Services District 10 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID s 0.00 $ 500.00 ❑ FORGIVEN. $ 0.00 $ 500.00 $ 0.00 1/1/17 $ DATE DUE SUBTOTALS $ 1050.00$ 0.00 $ 1050.00 $ Schedule B Summary 1. Loans received this period ...................................................................................... ..............................$ I n-,n on (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ........................................................................... ..............................$ n nn (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. Subtract Line 2 from Line 1. NET $ lntin no Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) CALENDAR YEAR 0 $ 500.00 $ 1050.00 RATE PER ELECTION'" 0.00 3/09/16 $ 1050.00 DATE INCURRED (Enter (e) on Schedule E, Line 3) tContributor Codes IND - Individual COM - Recipient Committee (other than PTY or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC - Small Contributor Committee *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 E Payments Made Amounts may be rounded to whole dollars. Statement covers period from 01/01/2016 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 06/30/2016 Page 8 of 9 NAME OF FILER I.D. NUMBER Mona Lisa Ballesteros for Dublin City Counciil 2016 1382699 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 RAID 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 Lv. 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 Alameda County Registrar of Voters 1225 Fallon Street Rm G -1 Oakland, CA 94612 Heather M. Whiting Photography 2819 Crow Canyon Blvd, Ste. 209 PRO San Ramon, CA 94583 Pacific Printing 1445 Monterey Hghway LIT San Jose, CA 95110 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. DESCRIPTION OF PAYMENT Voter File Photography Services Remits AMOUNT PAID 211.00 500.00 243.81 SUBTOTAL $ 954.81 Schedule E Summary 1. Itemized payments made this period. include all Schedule E subtotals. $ 1069.81 p Y p ( ) ................................................................ ............................... 2. Unitemized payments made this period of under $ 100 .............................................................................................. ............................... ............. $ 292.17 ....... ............................... 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) ........ ............................... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 1361.98 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule E Amounts may be rounded (Continuation Sheet) to whole dollars. Payments Made SEE INSTRUCTIONS ON REVERSE Mona Lisa Ballesteros for Dublin City Counciil 2016 Statement covers period from 01/01/2016 through 06/30/2016 SCHEDULE E (CONT.) Page 9 of 9 I.D. NUMBER 1382699 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS campaign paraphernalia /misc. campaign consultants MBR member communications RAD radio airtime and production costs CTB contribution (explain nonmonetary)* MTG OFC meetings and appearances office expenses RFD returned contributions CVC civic donations PET petition circulating SAL campaign workers' salaries FIL candidate filing /ballot fees PHO phone banks TEL t.v. or cable airtime and production costs FIND fundraising events POL polling and survey research TRC candidate travel, lodging, and meals IND independent expenditure supporting /opposing others (explain)* POS postage, delivery and messenger services TRS staff /spouse travel, lodging, and meals LEG legal defense PRO professional services (legal, accounting) TSF VOT transfer between committees of the same candidate /sponsor LIT campaign literature and mailings PRT print ads WE7D voter registration _ :__ ._—__,_ _ . ,. . .. .... Uu c Li. SUBTOTAL $ 115.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov