california form 460 - wordpress.com...committee to re-elect dan miller, supervisor, 2018 1396410...
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4. VerificationI 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 certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.
BySignature of Treasurer or Assistant Treasurer
BySignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor
BySignature of Controlling Officeholder, Candidate, State Measure Proponent
BySignature of Controlling Officeholder, Candidate, State Measure Proponent
Executed on Date
Executed on Date
Executed on Date
Executed on Date
SEE INSTRUCTIONS ON REVERSE
Date of election if applicable:(Month, Day, Year)
Recipient CommitteeCampaign StatementCover Page
For Official Use Only
Page of
COVER PAGE
CALIFORNIA FORM
Date Stamp
3. Committee InformationCOMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
Statement covers period
from
through
(Government Code Sections 84200-84216.5)
1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.
STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
Treasurer(s)NAME OF TREASURER
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
460
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
I.D. NUMBER
2. Type of Statement:Preelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)Amendment (Explain below)
Quarterly StatementSpecial Odd-Year ReportSupplemental Preelection
Primarily Formed Ballot MeasureCommittee
ControlledSponsored
(Also Complete Part 6)
Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall
(Also Complete Part 5)
Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)
General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central Committee
Statement - Attach Form 495
www.netfile.comFPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
1 19
07/01/2017
12/31/2017 06/05/2018
XX
1396410
Committee to Re-elect Dan Miller, Supervisor, 2018
Grass Valley CA 95945 (530)477-7572
Linda Bennett
Grass Valley CA 95945 (530)273-2644
01/02/2018 Linda Bennett
01/02/2018 Dan Miller
E-Filed01/02/201817:14:35
Filing ID:167386634
Page of
COVER PAGE - PART 2
CALIFORNIAFORM
Recipient CommitteeCampaign StatementCover Page — Part 2
460
5. Officeholder or Candidate Controlled CommitteeNAME OF OFFICEHOLDER OR CANDIDATE
Related Committees Not Included in this Statement: List any committeesnot included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
NAME OF TREASURER
COMMITTEE NAME
YES NO
I.D. NUMBER
CONTROLLED COMMITTEE?
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
6. Primarily Formed Ballot Measure CommitteeNAME OF BALLOT MEASURE
DISTRICT NO. IF ANY
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
JURISDICTION SUPPORTOPPOSE
BALLOT NO. OR LETTER
7. Primarily Formed Candidate/Officeholder Committee List names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
OFFICE SOUGHT OR HELDSUPPORTOPPOSE
SUPPORTOPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE
Attach continuation sheets if necessary
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE
www.netfile.comFPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
2 19
Dan Miller
Nevada County District 3
Grass Valley CA 95945
SEE INSTRUCTIONS ON REVERSENAME OF FILER
Campaign Disclosure StatementSummary Page
Page of
Amounts may be roundedto whole dollars.
I.D. NUMBER
Current Cash Statement12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts ................................................... Column A, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. Column A, Line 8 above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this is a termination statement, Line 16 must be zero.
CALIFORNIAFORM
SUMMARY PAGE
Expenditures Made6. Payments Made ....................................................... Schedule E, Line 4 $ $
7. Loans Made ............................................................. Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $ $
9. Accrued Expenses (Unpaid Bills) ...............................Schedule F, Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................Add Lines 8 + 9 + 10 $ $
17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts18. Cash Equivalents ........................................ See instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3 $ $
2. Loans Received ...................................................... Schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ $
4. Nonmonetary Contributions .................................... Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 $ $
460Statement covers period
from
through
Column BCALENDAR YEAR
TOTAL TO DATE
Column ATOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections
1/1 through 6/30 7/1 to Date
20. ContributionsReceived $ $
21. ExpendituresMade $ $
Expenditure Limit Summary for StateCandidates
*Amounts in this section may be different from amountsreported in Column B.
Date of Election(mm/dd/yy)
Total to Date
22. Cumulative Expenditures Made*(If Subject to Voluntary Expenditure Limit)
To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).
/ /
/ /
$
$
www.netfile.com
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
3 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
16,250.00 21,577.00
0.00 0.00
16,250.00 21,577.00
0.00 0.00
16,250.00 21,577.00
11,599.00 12,509.00
0.00 0.00
11,599.00 12,509.00
0.00 0.00
0.00 0.00
11,599.00 12,509.00
4,417.00
16,250.00
0.00
11,599.00
9,068.00
0.00
0.00
0.00
Schedule AMonetary Contributions Received
Page of
Amounts may be roundedto whole dollars.
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SEE INSTRUCTIONS ON REVERSENAME OF FILER I.D. NUMBER
SCHEDULE A
SUBTOTAL $
CALIFORNIAFORM
Statement covers period
from
through
Schedule A Summary1. 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 $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
460
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
4 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
07/07/2017 Richard AltenbachGrass Valley, CA 95945
X MusicianSelf
100.00 100.00 P2018 $100.00
07/07/2017 Peter and Nancy BrostNevada City, CA 95959
X RetiredRetired
100.00 100.00 P2018 $100.00
07/07/2017 Robert IngramGrass Valley, CA 95945
X RetiredRetired
100.00 200.00 P2018 $200.00
07/07/2017 Hank and Kandy WestonPenn Valley, CA 95946
X County SupervisorNevada County
200.00 200.00 P2018 $200.00
07/07/2017 Dale WiermanDavis, CA 95618
X ForesterRetired
100.00 100.00 P2018 $100.00
600.00
15,822.00
428.00
16,250.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
5 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
07/13/2017 Larry and Susan IngersollGrass Valley, CA 95945
X Branch managerPlacer Title Company
100.00 100.00 P2018 $100.00
07/20/2017 Maudie WalkerGrass Valley, CA 95945
X RetiredRetired
100.00 100.00 P2018 $100.00
07/26/2017 Richard FuxjagerNevada City, CA 95959
X Event PlannerSelf
200.00 200.00 P2018 $200.00
08/01/2017 Alpine Portable Storage Containers LLCGrass Valley, CA 95945
X
100.00 100.00 P2018 $100.00
08/01/2017 Randy and Debbe BlakemoreGrass Valley, CA 95949 X Owners
Alpine Portable StorageContainers LLC
100.00 100.00 P2018 $100.00
600.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
6 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
08/02/2017 E. Christina Dabis-ApplebyGrass Valley, CA 95945
X RetiredRetired
250.00 250.00 P2018 $250.00
08/02/2017 Thomas O'TooleGrass Valley, CA 95949
X OwnerPacific Bancnote
99.00 124.00 P2018 $124.00
08/03/2017 Jerry and Irene HallGrass Valley, CA 95945
X RetiredRetired
100.00 100.00 P2018 $100.00
08/11/2017 Norma MooreGrass Valley, CA 95945 X Therapist
Self100.00 100.00 P2018 $100.00
08/17/2017 Pete ChristensenGrass Valley, CA 95945 X Retired
Retired250.00 250.00 P2018 $250.00
799.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
7 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
08/17/2017 Chris EvansGrass Valley, CA 95945
X RetiredRetired
100.00 100.00 P2018 $100.00
08/21/2017 Gilbert and Kathy MathewGrass Valley, CA 95949
X Self-employedSelf-employed
100.00 100.00 P2018 $100.00
09/13/2017 Terence and Elizabeth McAteerGrass Valley, CA 95945
X RetiredRetired
200.00 200.00 P2018 $200.00
09/13/2017 Greg and Marilyn PetersPenn Valley, CA 95946 X Well drilling
Self500.00 500.00 P2018 $500.00
09/19/2017 Georgann RussellNevada City, CA 95959 X Real Estate and Business
ConsultantG. Russell Enterprises,LTD
500.00 500.00 P2018 $500.00
1,400.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
8 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
09/20/2017 Greg and Conni FowlerNevada City, CA 95959
X Business OwnerB & C Home Center
150.00 150.00 P2018 $150.00
09/20/2017 Dan MillerGrass Valley, CA 95945
X 200.00 200.00 P2018 $200.00
09/21/2017 Nelson Rental PropertiesGrass Valley, CA 95945
X
250.00 250.00 P2018 $250.00
09/26/2017 James EckardtNevada City, CA 95959 X Caterer
Self-employed200.00 200.00 P2018 $200.00
09/28/2017 Norma BuichGrass Valley, CA 95945 X Staff
Cirino's Bloody Mary Mixplant
500.00 500.00 P2018 $500.00
1,300.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
9 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
09/28/2017 Jerry CirinoGrass Valley, CA 95945
X Restaurant ownerBusiness owner
500.00 500.00 P2018 $500.00
09/28/2017 Dale CreightonNevada City, CA 95959
X EngineerBusiness owner SCOPlanning and Engineering
198.00 198.00 P2018 $198.00
09/28/2017 Eduardo GarciaGrass Valley, CA 95949
X RetiredRetired
250.00 250.00 P2018 $250.00
09/28/2017 Donna ImsandGrass Valley, CA 95945 X Staff
Cirino's Bloody Mary Mixplant
500.00 500.00 P2018 $500.00
09/28/2017 Lisa LandersGrass Valley, CA 95945 X Staff
Cirino's Bloody Mary Mixplant
500.00 500.00 P2018 $500.00
1,948.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
10 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
09/28/2017 Robert and Julie MedlynGrass Valley, CA 95945
X Beam CenterBusiness owner
500.00 500.00 P2018 $500.00
09/28/2017 Mike Bratton State Farm InsuranceGrass Valley, CA 95945
X
500.00 500.00 P2018 $500.00
09/28/2017 George and JoAnn RebaneNevada City, CA 95959
X RetiredRetired
1,000.00 1,000.00 P2018 $1,000.00
09/28/2017 Daniel and Erin SwartzendruberGrass Valley, CA 95945 X General Contracter
Business owner250.00 250.00 P2018 $250.00
09/28/2017 Edward and Kay WalkerGrass Valley, CA 95945 X Business Partner
Robinson Enterprises500.00 500.00 P2018 $500.00
2,750.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
11 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
10/04/2017 Joseph and Shirley GriggsNevada City, CA 95959
X RetiredRetired
200.00 200.00 P2018 $200.00
10/06/2017 Ric and Frances SheridanGrass Valley, CA 95945
X RetiredRetired
100.00 100.00 P2018 $100.00
10/12/2017 Andy OwensGrass Valley, CA 95945
X RetiredRetired
250.00 250.00 P2018 $250.00
10/30/2017 Roxanne MillerGrass Valley, CA 95945 X Retired
Retired300.00 300.00 P2018 $300.00
11/03/2017 Mimi SimmonsNevada City, CA 95959 X Real Estate Broker
Self250.00 250.00 P2018 $250.00
1,100.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
12 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
11/03/2017 Randy YoungNevada City, CA 95959
X RetiredRetired
250.00 250.00 P2018 $250.00
11/08/2017 Samuel and Susan AanestadPenn Valley, CA 95946
X State Senator and oralsurgeon nurseRetired
100.00 100.00 P2018 $100.00
11/08/2017 Peter BrowneGrass Valley, CA 95945
X AttorneySelf
200.00 299.00 P2018 $299.00
11/10/2017 Walt AbbeyGrass Valley, CA 95945 X Physical Therapist
Business Owner100.00 100.00 P2018 $100.00
11/10/2017 Byers Enterprises, Inc.Grass Valley, CA 95945
X
750.00 750.00 P2018 $750.00
1,400.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
13 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
11/10/2017 Robert IngramGrass Valley, CA 95945
X RetiredRetired
100.00 200.00 P2018 $200.00
11/10/2017 Kane's RestaurantGrass Valley, CA 95945
X
250.00 250.00 P2018 $250.00
11/11/2017 Thomas O'TooleGrass Valley, CA 95949
X OwnerPacific Bancnote
25.00 124.00 P2018 $124.00
11/27/2017 Ernie's Van & StorageGrass Valley, CA 95945
X
250.00 450.00 P2018 $450.00
11/27/2017 Charlene HalbyGrass Valley, CA 95945 X Business Owner
The Halby Group InsuranceAgency
100.00 100.00 P2018 $100.00
725.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
14 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
11/27/2017 Lura JamesGrass Valley, CA 95945
X Retired nurseRetired
100.00 100.00 P2018 $100.00
11/27/2017 Kathleen KeeferGrass Valley, CA 95945
X Retired paralegalRetired
100.00 100.00 P2018 $100.00
11/27/2017 Darwin LeekGrass Valley, CA 95945
X ChiropractorChiropractic Plus
100.00 100.00 P2018 $100.00
11/27/2017 Nevada County Contractors Assc PoliticalAction CommitteeGrass Valley, CA 95945
X
2,000.00 2,000.00 P2018 $2,000.00
11/27/2017 Charles PhelpsGrass Valley, CA 95949 X Retired
Retired250.00 250.00 P2018 $250.00
2,550.00
Page of
Amounts may be roundedto whole dollars.
NAME OF FILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D. NUMBER
SCHEDULE A (CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PER ELECTIONTO DATE
(IF REQUIRED)
CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)
AMOUNTRECEIVED THIS
PERIOD
IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)
DATERECEIVED
SUBTOTAL $
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CONTRIBUTORCODE *
*Contributor CodesIND – IndividualCOM – Recipient Committee
(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
www.netfile.com
FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
15 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
11/27/2017 Chauncey PostonGrass Valley, CA 95945
X Real Estate BrokerSelf
100.00 100.00 P2018 $100.00
11/27/2017 Scott RobertsonNevada City, CA 95959
X CPARobertson, Woodford, andSummers, LLP, CPAs
200.00 200.00 P2018 $200.00
11/27/2017 W WhiteNevada City, CA 95959
X RetiredRetired
150.00 150.00 P2018 $150.00
12/04/2017 Joseph LiszakGrass Valley, CA 95945 X Retired Field Service
EngineerRetired
100.00 100.00 P2018 $100.00
12/12/2017 Simply HairGrass Valley, CA 95945
X
100.00 100.00 P2018 $100.00
650.00
SEE INSTRUCTIONS ON REVERSENAME OF FILER
Schedule EPayments Made
Page of
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Amounts may be roundedto whole dollars.
I.D. NUMBER
Statement covers period
from
through
SCHEDULE E
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
Schedule E Summary1. 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 $
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.netfile.comwww.fppc.ca.gov
FPPC Form 460 (Jan/2016)
16 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
Dauntless CommunicationsRoseville, CA 95678
CNS Consulting Fees 1,500.00
United States Postal ServiceGrass Valley, CA 95945
POS Stamps 98.00
Dauntless CommunicationsRoseville, CA 95678
CNS Consulting fees 50.00
1,648.00
11,395.69
203.31
0.00
11,599.00
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
17 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
House of Print and CopyGrass Valley, CA 95945
CMP Stationery/invitations 64.80
Real GraphicGrass Valley, CA 95945
CMP Campaign T-shirts 536.49
Real GraphicGrass Valley, CA 95945
CMP Campaign T-shirts 42.92
Dauntless CommunicationsRoseville, CA 95678
CNS Consulting fees 1,050.00
Patti Ingram SpencerGrass Valley, CA 95945
Reimbursements for campaign costs incurred 614.19
2,308.40
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
18 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
SRC RentalsGrass Valley, CA 95945
FND Fundraiser dinner supplies 174.26
Dauntless CommunicationsRoseville, CA 95678
CNS 2,050.00
James EckardtNevada City, CA 95959
FND Fundraising dinner 1,360.00
Greater Grass Valley Chamber of CommerceGrass Valley, CA 95945
Chamber of Commerce member fees 240.00
House of Print and CopyGrass Valley, CA 95945
CMP Letterhead 50.22
3,874.48
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULE E (CONT.)
Amounts may be roundedto whole dollars.Payments Made
SEE INSTRUCTIONS ON REVERSE Page of
I.D. NUMBER
NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CALIFORNIAFORM 460
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
RAD radio airtime and production costsRFD returned contributionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)
MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads
CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
NAME OF FILER
www.netfile.com
Schedule E (Continuation Sheet)
www.fppc.ca.gov
FPPC Form 460 (Jan/2016)
19 19
07/01/2017
12/31/2017
Committee to Re-elect Dan Miller, Supervisor, 2018 1396410
Dauntless CommunicationsRoseville, CA 95678
CNS 1,050.00
United States Postal ServiceGrass Valley, CA 95945
Postage 147.00
Roxanne MillerGrass Valley, CA 95945
FND 267.81
Dauntless CommunicationsRoseville, CA 95678
CNS 1,050.00
Dauntless CommunicationsRoseville, CA 95678
CNS Consulting fees 1,050.00
3,564.81