The URL can be used to link to this page

Home My WebLink AboutMelissa Hernandez-Strah 2017 - 460_01-01-2017 - 06-30-2017 Semi-Annual Recipient Committee Date Stamp COVER PAGE Campaign Statement RECEIVED • , . , 9 Cover Page Statement covers period Date of election if applicable: Page 1 of 12 from January 1, 2017 (Month,Day,Year) JUL 31 2017 For Official Use Only SEE INSTRUCTIONS ON REVERSE June 30, 2017 CITY OF DUBLIN through CITY MANAGERS OFFIC 1. Type of Recipient Committee: All committees-complete Parts 1,2,3,and 4. 2. Type of Statement: 0 Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee 2 Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Part 6) F-1 General Purpose Committee ❑ Amendment(Explain below) • Sponsored ❑ Primarily Formed Candidate/ • Small Contributor Committee Officeholder Committee • Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER Treasurer(s) 1381689 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Melissa Hernandez Strah for Dublin Council 2016 Pauline Tokunaga MAILING ADDRESS STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY Anne Piegaro MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification 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 Executed on July 31, 2017 By Date Signature of ContrWIlling Officeholder,Candidate,State L6a,,wla Pro onent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Ca-niTidate,Slate 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 ' • Cover Page — Part 2 Page 2 of 12 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Melissa Hernandez-Strah OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Councilmember ❑ OPPOSE RESIDENTIAL/BUSI NESS ADDRESS (NO.AND STREET) CITY STATE ZIP 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. E] YES ❑ 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 ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO [:1 SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (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 - I from January 1, 2017 June 30 SEE INSTRUCTIONS ON REVERSE through , 2017 3 12 Page of NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and 1292.00 1292.00 General Elections 1. Monetary Contributions................................................... Schedule A,Line 3 $ $ 1/1 through 6130 7/1 to Date 2. Loans Received................................................................ schedule B,Line 3 0 0 1292.00 1292.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions............................................ Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED....................................Add Lines 3+4 $ 1292.00 $ 1292.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ Schedule E,Line 4 $ 3580.00 $ 3580.00 Candidates 7. Loans Made....................................................................... Schedule H,Line 3 0 0 3580.00 3580.00 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 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment.........................................................Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 $ 3580.00 $ 0 $ Current Cash Statement $ 12. Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 2439.02 To calculate Column B, 13. Cash Receipts........................................................... Column A,Line 3 above 1292.00 add amounts in Column 0 Ato 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 3580.00 of your last report. Some 15102 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 this is the first report being 17. LOAN GUARANTEES RECEIVED................................ Schedule B,Part 2 $ 0 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 any). 19. Outstanding Debts.............................. Add Line 2+Line 9 in Column B above $ 0 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 to whole dollars. Statement covers period Monetary Contributions Received CALIFORNIA from January 1, 2017 . , 6 0 SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page 4 of 12 NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 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) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑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. IND-Individual (Include all Schedule A subtotals.) ..........................................................................$ 0 COM-Recipient Committee "' (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than $100 ...........................$ 1292.00 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 Summa Page, Column A, Line 1. TOTAL $ 1292.00 FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B-PART 1 Schedule B - Part 1 to whole dollars. Statement covers period . - • . 1 Loans Received from January 1, 2017 • - SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page 5 of 12 NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 FULL NAME,STREET ADDRESS AND ZIP C NVD ENTER IF AN INDIVIDUAL, REST ORIGINAL CUMULATIVE ODE OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTE REST e g OCCUPATION AND EMPLOYER BALANCE BALANCE AT OF LENDER (IF SELF-EMPLOYED,ENTER RECEIVED THIS OR FORGIVEN 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 ❑ PAID CALENDARYEAR E] FORGIVEN FORGIVEN PER ELECTION* t $ $ $ DATE DUE $ DATE INCURRED $ ❑ IND ❑ ❑ ❑ ❑ COM OTH PTY SCC ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN RATE PER ELECTION" t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ DATE DUE $ DATE INCURRED $ SUBTOTALS $ $ $ $ (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period.................................................................................................................... (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 2. Loans paid or forgiven this period.........................................................................................................$ IND-Individual�- COM-Recipient Committee (Total Column (c) plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity) PTY-Political Party 3. Net change this period. (Subtract Line 2 from Line 1.)..............................................................NET $ 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 C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from January 1, 2017 FORM SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page 6 of 12 NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION DATE FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF RECEIVED ZIP CODE OF CONTRIBUTOR CODE* OCCUPATION AND EMPLOYER GOODS OR SERVICES FAIR MARKET DATE TO DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE CALENDAR YEAR (IF REQUIRED) NAME OF BUSINESS) (JAN 1-DEC 31) ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IN ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary Contributor Codes 1. Amount received this period -itemized nonmonetary contributions. b, IND-Individual (Include all Schedule C subtotals.)......................................................................................................................$ COM-Recipient Committee (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. J 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 Summa of Expenditures Amounts may be rounded SCHEDULE D �/ p Statement covers period Supporting/Opposing Other to whole dollars. • - , Candidates, Measures and Committees from January 1, 2017 SEE INSTRUCTIONS ON REVERSE through June 30, 2017 Page 7 of 12 NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR DESCRIPTION CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT AMOUNT THIS CALENDAR YEAR TO DATE (IF REQUIRED) PERIOD (JAN.1-DEC.31) (IF REQUIRED) OR COMMITTEE ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary Q 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.).......................................................$ D 2. Unitemized contributions and independent expenditures made this period of under$100....................................................................................$ 3. Total contributions and independent expenditures made this period. Add Lines 1 and 2. Do not enter on the Summa Page.) TOTAL..$ P P P ( Summary 9 ).......... FPPC Form 460(1an/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Statement covers period SCHEDULE E to whole dollars. • - Payments Made from January 1, 2017 • - SEE INSTRUCTIONS ON REVERSE through June 30, 2017 page 8 of 12 NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 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 Shawn Wilson Campaign consultant CNS 3,000.00 Shawn Wilson Campaign consultant CNS 500.00 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,500.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)......................................... 3,500.00 2. Unitemized payments made this period of under$100..........................................................................................................................................$ 80.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).).......................................... 0 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 3,580.00 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 to whole dollars. Statement covers period • ' • ' Accrued Expenses (Unpaid Bills) from January 1, 2017 • - through June 30, 2017 Page 9 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 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 CREDITOR CODE OR ( ( (c) (d) OUTSTAA NDING AMOUNT IN NCURRED 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 accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)..............................................INCURRED TOTALS $ C 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c)subtotals for payments on 0 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 d onthe 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 SCHEDULE G Payments Made by an Agent or Independent Amounts may be rounded Statement covers period Contractor (on Behalf of This Committee) to whole dollars. from January 1, 2017 • through June 30, 2017 Page 10 of 12 SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 NAME OF AGENT OR INDEPENDENT CONTRACTOR 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 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) *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* $ y *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(1an/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 CALIFO NIA Loans Made to Others* from to whole dollars. January 1, 2017 FOR h June 30, 2017 Page 11 of 12 throw SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 IF AN INDIVIDUAL,ENTER (a) (b) (C) (d) (e) (1) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT REPAYMENT OR OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER BALANCE LOANED THIS BALANCE AT RECEIVED AMOUNT OF LOANS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,OF BUSINESS)EN THIS PERIOD ER BEGINNING THIS PERIOD FORGIVENESS CLOSE OF THIS PERIOD PERIOD LOAN TO DATE ❑ PAID CALENDAR YEAR ❑ RATE FORGIVEN PER ELECTION** $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE 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 1,Line 3) Schedule H Summary U 1. Loans made this period....................................................................................................................................................$ (Total Column (b) plus unitemized loans of less than $100.) u If Required 2. Payments received on loans............................................................................................................................................$ (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.) (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 January 1, 2017 FORM from through June 30, 2017 Page 12 of 12 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Melissia Hernandez-Strah 1381689 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. $ O 2. Unitemized increases to cash of under 100 this period. $ a 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ 0 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the (J SummaryPage, Line 14.) ............................................................................................................................. TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice @fppc.ca.gov(866/275-3772) www.fppc.ca.gov