COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
Date Stamp
(Government Code Sections 84200-84216.5)
Statement covers period
SEE INSTRUCTIONS ON REVERSE
1. Type of Recipient Committee:
from
01/01/2016
through
04/23/2016
Primarily Formed Candidate/
Officeholder Committee
of
For Official Use Only
Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495
Additional expenses added: Nevada County filing fees and fees
paid to Democracy Engine for web donat ion processing
(Also Complete Part 7)
I.D. NUMBER
3. Committee Information
06/07/2016
(Also Complete Part 6)
General Purpose Committee
Sponsored
Small Contributor Committee
Political Party/Central Committee
Page
Filing ID:
160324650
Primarily Formed Ballot Measure
Committee
Controlled
Sponsored
(Also Complete Part 5)
E-Filed
05/03/2016
13:52:20
460
2. Type of Statement:
All Committees Complete Parts 1, 2, 3, and 4.
X Officeholder, Candidate Controlled Committee
State Candidate Election Committee
Recall
Date of election if applicable:
(Month, Day, Year)
CALIFORNIA
FORM
Treasurer(s)
1385019
COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)
NAME OF TREASURER
Richard Harris for Nevada County Supervisor 2016
Jennifer Williams
MAILING ADDRESS
STREET ADDRESS (NO P.O. BOX)
CITY
Nevada City
CITY
STATE
Grass Valley
CA
ZIP CODE
95959
STATE
ZIP CODE
ZIP CODE
CA
95959
STATE
ZIP CODE
AREA CODE/PHONE
(530)320-0040
NAME OF ASSISTANT TREASURER, IF ANY
AREA CODE/PHONE
(530)477-1563
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE
MAILING ADDRESS
AREA CODE/PHONE
CITY
OPTIONAL: FAX / E-MAIL ADDRESS
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
(530)477-9310 / [email protected]
[email protected]
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.
Executed on
05/03/2016
Executed on
05/03/2016
Executed on
Executed on
www.netfile.com
Date
Date
Date
Date
By
Jennifer Williams
By
Richard Harris
By
By
Signature of Treasurer or Assistant Treasurer
Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice:
[email protected] (866/275-3772)
www.fppc.ca.gov
COVER PAGE - PART 2
Recipient Committee
Campaign Statement
Cover Page Part 2
CALIFORNIA
FORM
Page
460
of
6. Primarily Formed Ballot Measure Committee
5. Officeholder or Candidate Controlled Committee
NAME OF BALLOT MEASURE
NAME OF OFFICEHOLDER OR CANDIDATE
Richard Harris
Nevada County Supervisor: County of District
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET)
JURISDICTION
BALLOT NO. OR LETTER
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
SUPPORT
OPPOSE
District 2
CITY
STATE
ZIP
CA
95949
Identify the controlling officeholder, candidate, or state measure proponent, if any.
Grass Valley
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
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
YES
COMMITTEE ADDRESS
CITY
COMMITTEE NAME
ZIP CODE
AREA CODE/PHONE
CONTROLLED COMMITTEE?
YES
CITY
www.netfile.com
7. Primarily Formed Candidate/Officeholder Committee
List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
SUPPORT
OPPOSE
SUPPORT
OPPOSE
I.D. NUMBER
NAME OF TREASURER
COMMITTEE ADDRESS
DISTRICT NO. IF ANY
NO
STREET ADDRESS (NO P.O. BOX)
STATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
NO
SUPPORT
OPPOSE
SUPPORT
OPPOSE
STREET ADDRESS (NO P.O. BOX)
STATE
ZIP CODE
AREA CODE/PHONE
Attach continuation sheets if necessary
FPPC Form 460 (Jan/2016)
FPPC Advice:
[email protected] (866/275-3772)
www.fppc.ca.gov
SUMMARY PAGE
Campaign Disclosure Statement
Summary Page
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from
01/01/2016
through
04/23/2016
CALIFORNIA
FORM
Page
of
NAME OF FILER
I.D. NUMBER
Richard Harris for Nevada County Supervisor 2016
1385019
Contributions Received
1. Monetary Contributions ...........................................
Schedule A, Line 3
2. Loans Received ......................................................
Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
4. Nonmonetary Contributions ....................................
Add Lines 1 + 2
Column B
CALENDAR YEAR
TOTAL TO DATE
3,593.00
0.00
$
3,593.00
3,593.00
3,593.00
2,326.11
Schedule E, Line 4
7. Loans Made .............................................................
Schedule H, Line 3
1/1 through 6/30
7/1 to Date
20. Contributions
Received
$
$
$
5,919.11
5,919.11
21. Expenditures
Made
$
1,470.44
1,470.44
Expenditure Limit Summary for State
Candidates
Expenditures Made
6. Payments Made .......................................................
0.00
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
0.00
2,326.11
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
460
0.00
22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS ....................................
Add Lines 6 + 7
1,470.44
1,470.44
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3
0.00
0.00
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
2,326.11
2,326.11
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10
3,796.55
0.00
3,796.55
Current Cash Statement
12. Beginning Cash Balance .......................
Previous Summary Page, Line 16
13. Cash Receipts ...................................................
Schedule I, Line 4
0.00
Column A, Line 8 above
1,470.44
14. Miscellaneous Increases to Cash ...........................
15. Cash Payments ..................................................
16. ENDING CASH BALANCE ..........
3,593.00
Column A, Line 3 above
2,122.56
0.00
See instructions on reverse
0.00
Add Line 2 + Line 9 in Column B above
0.00
Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ...........................
Schedule B, Part 2
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................
19. Outstanding Debts .........................
www.netfile.com
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).
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
Total to Date
*Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice:
[email protected] (866/275-3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
SCHEDULE A
Statement covers period
from
01/01/2016
CALIFORNIA
FORM
through
04/23/2016
Page
NAME OF FILER
04/04/2016
04/04/2016
of
I.D. NUMBER
Richard Harris for Nevada County Supervisor 2016
DATE
RECEIVED
460
1385019
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
Janine Rickard
Nevada City, CA
95959
Patricia Smith
Grass Valley, CA
95949
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
X IND
COM
OTH
PTY
SCC
Retired
Retired
100.00
100.00 P2016
$100.00
X IND
COM
OTH
PTY
SCC
Retired
Retired
250.00
250.00 P2016
$250.00
04/09/2016
Mr. Evan Reiffel
Chicago, IL 60614
X IND
COM
OTH
PTY
SCC
Retired
Retired
250.00
250.00 P2016
$250.00
04/12/2016
Sue Richards
Grass Valley, CA
X IND
COM
OTH
PTY
SCC
Retired
Retired
100.00
100.00 P2016
$100.00
X IND
COM
OTH
PTY
SCC
President
www.EventHelper.com
500.00
500.00 P2016
$500.00
04/14/2016
95949
Mr. William Maddox
Grass Valley, CA 95945
SUBTOTAL $
1,200.00
Schedule A Summary
*Contributor Codes
1. Amount received this period itemized monetary contributions.
(Include all Schedule A subtotals.) ........................................................................................................ $
2,700.00
2. Amount received this period unitemized monetary contributions of less than $100 ............................. $
893.00
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
3,593.00
www.netfile.com
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:
[email protected] (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet)
Monetary Contributions Received
SCHEDULE A (CONT.)
Amounts may be rounded
to whole dollars.
Statement covers period
from
01/01/2016
CALIFORNIA
FORM
through
04/23/2016
Page
of
NAME OF FILER
I.D. NUMBER
Richard Harris for Nevada County Supervisor 2016
1385019
DATE
RECEIVED
04/16/2016
04/16/2016
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *
Neil Bodine
Grass Valley, CA
95949
Mr. Michael Funk
Nevada City, CA 95959
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
X IND
COM
OTH
PTY
SCC
Partner
Bodine Group
X IND
COM
OTH
PTY
SCC
Executive
UNFI
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
460
8
PER ELECTION
TO DATE
(IF REQUIRED)
1,000.00
1,000.00 G2016
$1,000.00
500.00
500.00 P2016
$500.00
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
SUBTOTAL $
1,500.00
*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
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Advice:
[email protected] (866/275-3772)
www.fppc.ca.gov
Schedule C
Nonmonetary Contributions Received
SCHEDULE C
Amounts may be rounded
to whole dollars.
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
from
01/01/2016
through
04/23/2016
Page
of
460
8
I.D. NUMBER
Richard Harris for Nevada County Supervisor 2016
DATE
RECEIVED
CALIFORNIA
FORM
FULL NAME, STREET ADDRESS AND
ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
04/11/2016 Mr. Travis Wood
Nevada City, CA
95959
04/13/2016 Mr. Travis Wood
Nevada City, CA
95959
04/15/2016 Mr. Travis Wood
Nevada City, CA
95959
1385019
CONTRIBUTOR
CODE *
X IND
COM
OTH
PTY
SCC
X IND
COM
OTH
PTY
SCC
X IND
COM
OTH
PTY
SCC
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
DESCRIPTION OF
GOODS OR SERVICES
President
West Coast Traders
Inc.
Campaign yard
signs
President
West Coast Traders
Inc.
President
West Coast Traders
Inc.
AMOUNT/
FAIR MARKET
VALUE
CUMULATIVE TO
DATE
CALENDAR YEAR
(JAN 1 - DEC 31)
PER ELECTION
TO DATE
(IF REQUIRED)
1,978.07
2,326.11 P2016
$2,326.11
Campaign buttons
215.08
2,326.11 P2016
$2,326.11
Campaign flyers
132.96
2,326.11 P2016
$2,326.11
IND
COM
OTH
PTY
SCC
Attach additional information on appropriately labeled continuation sheets.
SUBTOTAL $
2,326.11
Schedule C Summary
*Contributor Codes
1. Amount received this period itemized nonmonetary contributions.
(Include all Schedule C subtotals.) ..................................................................................................................... $
2,326.11
2. Amount received this period unitemized nonmonetary contributions of less than $100 .................................... $
0.00
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) ...................... TOTAL $
2,326.11
www.netfile.com
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:
[email protected] (866/275-3772)
www.fppc.ca.gov
SCHEDULE E
Schedule E
Payments Made
Statement covers period
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
from
01/01/2016
CALIFORNIA
FORM
through
04/23/2016
Page
NAME OF FILER
I.D. NUMBER
Richard Harris for Nevada County Supervisor 2016
1385019
of
460
8
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
OR
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
radio airtime and production costs
returned contributions
campaign workers salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT
AMOUNT PAID
County of Nevada
Nevada City, CA 95959
FIL
395.33
County of Nevada
Nevada City, CA 95959
FIL
472.23
Mrs. Rachael Pfadt
Grass Valley, CA 95945
WEB
Website setup and logo creation
Payments that are contributions or independent expenditures must also be summarized on Schedule D.
161.95
SUBTOTAL $
1,029.51
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $
1,249.15
2. Unitemized payments made this period of under $100 .......................................................................................................................................... $
221.29
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 $
1,470.44
www.netfile.com
FPPC Form 460 (Jan/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov
Schedule E
(Continuation Sheet)
Payments Made
SCHEDULE E (CONT.)
Statement covers period
Amounts may be rounded
to whole dollars.
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
from
01/01/2016
through
04/23/2016
CALIFORNIA
FORM
Page
460
of
I.D. NUMBER
Richard Harris for Nevada County Supervisor 2016
1385019
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
Staples
Grass Valley, CA
95945
Staples
Grass Valley, CA
95945
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
radio airtime and production costs
returned contributions
campaign workers salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)
DESCRIPTION OF PAYMENT
AMOUNT PAID
CMP
Signs
182.67
CMP
Signs
36.97
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
www.netfile.com
OR
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SUBTOTAL $
219.64
FPPC Form 460 (Jan/2016)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov