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460 BOURNE 21-0630 (Electronic Submission)_RedactedRecipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement coven period from 1/1/2021 through 6/30/2021 1. Type of Recipient Committee: All Commman-Comp Perlet.2,3,aM4. ® IMlcehoeer, Candidate Controlled Committee O Pnmadly Pomled Ballot Measure O Slate Candidate Election Committee Converted O Recall O Controlled rwm Lnmaa Fede O sponsored I] n Purpose Committee Mm aMMM1 e O Spbrsored 0 Sponsored ❑ Pdmedty Formed C9Midale/ O Smau Contributor Committee OMceholder Convnittee O Political PadytCental Committee rAlw mn vermff 3. Committee Information BOURNE FOR COUNCIL 2018 STREET R N P Cm STATE ZIPCODE AREAcoDEmRONE SAN JUAN CAPISTRANO CA 92675 - MAILING ADE RESSIF DIFFERENT NO. AND STREET OR PD. BOX CITY STATE LPCOOE AREA CODERHDNE OPTIONAL. FA%rE-NNLADDRESS RECEIVED Page— d Data of section H applicable: py pisrRANQ (Mah. tDay, Year) 101t1US-2 fit I7OU pp For Ox¢ialuse Only I JUAN ci 2. Type of Statement: ❑ Preelectlonstetemenl ❑ Quarterly Statement ® Semi-annual Statement ❑ Special CdbYear Report ❑ Tenninafon Statement (Also file a Form oto TerminaGonf ❑ Arnendment(Explain below) Treasurer(s) ALEX THURMAN CITY STATE ZIP CODE AREACODEPHONE LAGUNA NIGUEL CA 92677 NAME OF ASSISTANT TREASURER. IF ANY CITY STATE ZIP CODE AREACODE/PHONE 4. Verification I have used all reasonable diligence In preparing and reviewing Iris statelMlt am to the best Of my hnovieoge me inkar abon Contained herein and In the anact ed scnemass R true and complete. I certify under penalty of perjury under to laws of the State of Calgomia that he foregoing is true and denied. Executed on 8/2/2021 By Execvbd M.Dare Brrcnmsule eewro ,ra pa,am rW Epnnew ExacuadAT oerc BY geese it canwdB 5dominaw O&NNIAR, emM ueegu@ Propoart ExaeuWm Ale By sandow is Cnmrc q maoiPeAw LandausswMaaeue Prunwart FPPC Form 460 pan/2036I FPPC Advice: advicelafppcciaov(8156/225 3772) www.fpPcciii Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE r1:ieyj0101IJ:idh OFFICE SOUGHT OR HELD QNCLUOE LOCATION AND DISTINCT NUMBER IF APPLICABLE) CIN COUNCIL MEMBER RESIOENTMURUSINESSADDRERS (NO.ANDSTREET) CITY STATE ZIP SLC, CA 92675 Related Committees Not Included in this Statement: list any comminass not included in this aMMmant Mal are ceatrallad by you or are Primarily Massa to mcelee contributions ormake eVendifures on behalf of your eanmdacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE'? ❑ YES ❑ NO COMMMTEEADDRESS STREETAODRESS(NO P.O. BOX) CITY STATE ZIPCODE AREACODEIPHONE COMMITTEE NAME I.D. NUMBER NAME Or TREASURER CONTROLLED COMMITTEES U YES U NO COMMITTEEADDRESS STREETADDRESS(NO P.O. So CITY STATE ZIPCODE AREALODEmHONE Page— of - 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, it any. NAME OF OFFICEHOLDER. GANOIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRIOTNO.IFANY T. Primarily Formed CandidatelOtficeholder Committee List names or ofhceholder(sJ orcandwate(s) for which Nls committee u Primarilyl,rmed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD U SUPPORT U OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD U SUPPORT U OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT OP ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD PORT ❑OPPOSEOSE ClOPPOSE Affach eonanuation sheets Hnecessary FPPC Form 460(lan/2016( FPPC Advice: adviceftpOw.8ee (866/2753772( w .rpPcca.Bnv Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Summa Pae to whole dollars. Statement covers periodCALIFORNIA, Summary g 1/1/2021 F • 1 from Expenditures Made 6. Payments Made................................................................ Schedule E. Line 4 $ h through 6/30/2021 Page of SEE INSTRUCTIONS ON REVERSE 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 0 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule 1, Linea NAME OF FILER 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ..................................... I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDARYEAR Running in Both the State Primary (FROM ATTACHED SCHEDULES) TOTAL TO DATE and General Elections 0 0 1. Monetary Contributions................................................... Schedule A, Linea $ $ 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 0 0 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1+2 $ S Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Linea 21. Expenditures 0 0 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 + 4 $ $ Expenditures Made 6. Payments Made................................................................ Schedule E. Line 4 $ 0 7. Loans Made....................................................................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 0 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule 1, Linea 10. Nonmonetary Adjustment......................................................... Schedule c, Line 3 11. TOTAL EXPENDITURES MADE ..................................... ... Add Lines 8+9+10 $ 0 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13'. -Cash Receipts .............................................. Column A. Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule 1,Line 4 15. Cash Payments......................................................... Column A, Line 8 above 16. ENDING CASH BALANCE ..................AddLines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedulee. Pane $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ Seeinstructionsonreverse $ 19. Outstanding Debts ........ ...:.................. Add Line 2+ Line 9 in Column B above $ 3 1 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (H Subject to Voluntary Expenditure Limit) Date of Election Total to Dale (mm/dd/yy) E Amounts in this section maybe different from amounts— -- repoded 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 SCHEDULE A to whole dollars. Monetary Contributions Received Statement covers period CALIFORNIA 460 from 1/1!2021 . � 6/30/2021 through page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREETADDRESSZII.D. CONTRIBUTOR IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVETO DATE CALENDARYEAR PER ELECTION TO DATE RECEIVED ESSAND BFCOMMNDEOF 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 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ `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@fppcm.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA ' from 1/1/2021 FORM through 6/30/2021 Page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CONTRIBUTOR CODE • IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED OF ENTER I.D. NUMBER) (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$ '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 B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period I CALIFORNIA Loans Received 1/1/2021 from FORM 6/30/2021 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 FULL NAME, STREETADDRESS AND ZIPCODE IF AN INDIVIDUAL, ENTER OUTSTANDING AMOUNT (o) AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OFLENDER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, EWER BALANCE RECEIVEDTHIS OR FORGIVEN BALANCE AT PAID THIS AMOUNTOF CONTRIBUTIONS (IF OOMMITTEE,ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD THIS PERIOD' CLOSE OF THIS PERIOD PERIOD LOAN TO DATE I] PAID CALENDAR YEAR S S _% 8 S ❑ FORGIVEN PER ELECTION" RATE t[:] IND [ICOM [I OTH [I PTY El SCC S S S S $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR S 3 _% 3 S FORGIVEN El FORGIVEN PER ELECTION" S 3 S S S DATE DUE DATE INCURRED } [I IND ❑COM ❑ OTH ❑PTY ❑SCC ❑ PAID CALENDAR YEAR $ 3 X S $ I --]RATE FORGIVEN PER ELECTION" 3 S S $ S DATE DUE DATE INCURRED t❑ IND I] COM I] OTH I] PTV I] SCC SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period............................................................................................... (Total Column (b) plus unitemized loans of less than $100:) 2. Loans paid or forgiven this period.................................................................................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) ............... Enter the net here and on the Summary Page, Column A, Line 2. ..............$ ...................................... NET $ (May be a negative number) (Enter (e) on ScIregde E, Lire 3) tContribulor 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. I FPPC Form 460 (Jan/2016) If required. 11 FPPC Advice: advice@fppc.m.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 Schedule 13— Part 2 Amounts may oe rounaea to whole dollars. Loan Guarantors Statement covers period from 1/1/2021 - ' ' ' SEE INSTRUCTIONS ON REVERSE through 6/30/2021 page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 FULL NAME, STREETADDRESSAND ZIP CODE OF GUARANTOR IIF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IFAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER IIF NELFE OF BUSED,EWER LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO DATE BALANCE OUTSTANDING TO DATE ❑IND LENDER CALENDAR YEAR ❑ COM s DATE ❑ OTH PER ELECTION IIF REQUIRED) ❑ PTY ❑ SCC $ CALENDAR YEAR ❑ IND LENDER ❑ COM s ❑ OTHPER ELECTION IIF REQUIRED) DATE ❑ PTY ❑ SCC s ❑ IND LENDER CALENDARYEAR ❑ COM g ❑ OTHDATE PER ELECTION IIF REQUIRED) ❑ PTY ❑ SCC s El IND LENDER CALENDARYEAR -- - — ❑ COM $ DATE ❑ OTH PER ELECTION IIF REQUIRED) ❑ PTY ❑ SCC s n eran m Page, SUBTOTAL $ Summary Line 17 only. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmoneta Contributions Rid To wnmM dollars. ryononseceve Statement covers period CALIFORNIAI , ' from 1/1/2021 • through 6/30/2021 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 DATE FULLNAME,COD CONTRIBUTOR IFAN INDIVIDUAL, ENTER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED OFCO CONTRIBUTOR ZIP CODE OF CONTRIBUTOR CODE * OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE OF COMMITTEE,AL50 ENTER I.D. NUMBER) NAME OF BUSINESS) (JAN 7 -DEC 31) (IF REQUIRED) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ 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 1. Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)........................................................................................................ 2. Amount received this period — unitemized nonmonetary contributions of less than $100 .................... 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 $ `Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Patty SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.m.gov (866/275-3772) w .fppc.ca.gov Schedule D SCHEDULED summary of txpenaltures Amounts may be rounded Statement covers period Supporting/Opposing Other to whole dollars. • , ' Candidates, Measures and Committees from 1/1/2021 • through 6/30/2021 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR TYPE OF PAYMENT DESCRIPTIONAMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE MEASURE NUMBER OR LETTER AND JURISDICTION, (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 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.)....................................................... $ 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 Summary Page.) .......... TOTAL.. $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT.) Summary of Expenditures to whole dollars. Other Measures and Committees from 1/1/2021 Statement covers period71U*MB .Supporting/Opposing , 'Candidates, through 6/30/2021 ofNAME OF FILER ERBOURNE FOR COUNCIL 2018 361 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTERAND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNTTHIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN.1-DEC, 31) PER ELECTION TO DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ 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 $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON BOURNE FOR COUNCIL 2018 Amounts may be rounded to whole dollars. Statement covers period from 1/1/2021 through 6/30/2021 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Page of 83-1669361 CMP campaign paraphernalialmisc. 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'salades CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filingfballot 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 supportinglopposing 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 EWER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 2. Unitemized payments made this period of under $100.......................................................................................................................................... $ 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 $ AMOUNT PAID FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) Amounts may be rounded Statement coversperiod (Continuation Sheet) to whole dollars. CALIFORNIA 460 •' Payments Madefrom 1/1/2021 FORM 6/30/2021 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 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 ANDADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMRTEE. ALSO ENTER I.D. NUMBER) Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.w.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE BOURNE FOR COUNCIL 2018 Amounts may be rounded to whole dollars. CODES: If one of the following codes accurately describes the CMP campaign paraphernalialmisc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)' OFC CVC civic donations PET FIL candidate filing/ballot fees PHO FND fundraising events POL IND independent expenditure supporting/opposing others (explain)* POS LEG legal defense PRO LIT campaign literature and mailings PRT Statement covers period from 1/1/2021 through 6/30/2021 ayment, you may enter the code. Otherwise, member communications RAD meetings and appearances RFD office expenses SAL petition circulating TEL phone banks TRC polling and survey research TRS postage, delivery and messenger services TSF professional services (legal, accounting) VOT print ads WEB Page I.O. NUMBER !*31:I:1 -19I:31 SCHEDULEF of describe the payment. 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) NAME AND ADDRESS OF CREDITOR (IF coMMITTEE,AUSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT ( NDING LANCE BEGINNING BALANCE OF THIS PERIOD ( AMOUNT INNCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (MSO REPORT ON E) ( OUTSTAA NDING BALANCE AT CLOSE 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.) ........................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.)...... 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.)............................................................................................................................ ...INCURRED TOTALS $ ............. PAID TOTALS $ 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 F Amounts may be rounded OUTSTANDING BALANCE BEGINNING- OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD SCHEDULE F(CONT) Statement covers period . , 0 (Continuation Sheet) to whole dollars. Accrued Expenses (Unpaid Bills) from 1/1/2021 • - 6/30/2021 through Page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalialmisc. 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 fling/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundralsing 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 CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODEOR(a) DESCRIPTION OF PAYMENT OUTSTANDING BALANCE BEGINNING- OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS$ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule G Payments Mad Contractor (on ) by an Agent or Independent Behalf of This Committee) BOURNE FOR COUNCIL 2018 CODES: If one of the following codes accurately describes the CMP campaign paraphernalialmisc. MBR CNS campaign consultants MTG CTB contribution (explain nonmonetary)• OFC CVC civic donations PET FIL candidate filing/ballot fees PHO FND fundraising events POL IND independent expenditure supporting/opposing others (explain)' POS LEG legal defense PRO LIT campaign literature and mailings PRT Amounts may be rounded to whole dollars. payment, you may enter the code. 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 Payments that are contributions or independent expenditures must also be summarized on Schedule D. t 1/21 throhio ugh 6/301/30/2021 1Pge of 83-1669361 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers'salaries TEL Lv. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAMEANDADDRESS OF PAYEE OR CREDITOR I CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMMEE, ALSO EWER I.D. NUMBER) Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 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.w.gov (866/275-3772) www.fppc.ca.gov SCHEDULE Schedule H Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. ' 1/1/2021 Loans Made to Others from •' 6/30/2021 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER BOURNE FOR COUNCIL 2018 83-1669361 FULL NAME, STREETADDRESS AND ZIP CODE IFAN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT (c) REPAYMENTOR (d) OUTSTANDING (e) INTEREST M ORIGINAL (g) CUMULATIVE OF RECIPIENT OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER BALANCE LOANED THIS FORGIVENESS BALANCEAT RECEIVED AMOUNTOF LOANS (IF COMMITTEE ALSO ENTER I.D. NUMBER) NAME OF BUSINESS) BEGINNING THIS PERIOD THIS PERIOD' CLOSE OF THIS LOAN TO DATE PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE E E E E 8 DATE DUE DATE INCURRED PAID CALENDAR YEAR S $ % $ S ❑ FORGIVEN PER ELECTION' PATE 8 E S E E 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 $ $ $ $ Schedule H Summary 1. Loans made this period................................................................................................ (Total Column (b) plus unitemized loans of less than $100.) 2. Payments received on loans................................................................................................ (Total Column (c) plus unitemized payments of less than $100.) ....................... $ .............................. $ 1 SNetlule I., Line 3) 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 bed nega'14Baunabef) ..If Required FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.m.gov (866/275-3772) wwwJppc.ca.gov SCI7p_ritllp_ I A--+. 6n ...,,,.ded SCHEDULEI Miscellaneous Increases to Cash to wholedollars. SEE INSTRUCTIONS ON REVERSE Statement covers period CALIFORNIA ' from 1/1/2021 FORM through 6/30/2021 Page of NAME OF FILER BOURNE FOR COUNCIL 2018 I.D. NUMBER 83-1669361 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCEDESCRIPTION (IF COMMITTEE. ALSO EWER I.D. NUMBER) OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule I Summary 1. Itemized increases to cash this period............................................................................................................................$ 2. Unitemized increases to cash of under $100 this period.................................................................................................$ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .......................................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Form 460 1-1-21 through 6-30-21 Final Audit Report 1 2021-08-02 Created; 2021-08-02 By: NexThurman- slalus: signed Transaction In. CBJCHBCM6rN1 c67tKgw0WIOcCrPa65ayulUnfOC:Co "Form 460 1-1-21 through 6-30-21" History ,3 Document created by Alex Thurman - 2021 -08-02- 5:16:21 PM GMT- IP address: MA 81.78.44 124 Document emailed to Troy A Bourne �or signature 20214)8-02-5:1841 PMGMT ,3 Email viewed by Troy A Boum 20214)8-02- 5:29:50 PM GMT- IP address: 64.73.238.126 do Document e -signed by Troy A Boum 5ignetun:Oale:2021-08-02- 5:30:21 PM GMT -Time Source: server- IP address: 69.13138426 ® Agreement completed. 2021 -OB -02 - 5:30:21 PM GMT a Adobe Sign