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Home My WebLink AboutSmullen 01-31-2019 Form 460Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Date Stamp Statement covers period from June 31, 2017 Jan 31, 2019 through Date of election if applicable: (Month, Day, Year) RECEIVED �..._. 01 LU tS ,ITY OF SARATOGA COVER PAGE CALIFORNIA 460 FORM Page 1 of 13 For Official Use Only 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee O State Candidate Election Committee O Recall (Also Complete Part 51 ❑ General Purpose Committee O Sponsored O Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee O Controlled O Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement O Semi-annual Statement Termination Statement (Also file a Form 410 Termination) O Amendment (Explain below) O Quarterly Statement O Special Odd -Year Report 3. Committee Information I.D. NUMBER 1387616 COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) Dede Smullen for Saratoga City Council 2016 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS dede.smullen2016@gmail.com Treasurer(s) NAME OF TREASURER Roger Smullen MAILING ADDRESS OPTIONAL: FAX / E-MAIL ADDRESS dede.smullen2016@gmail.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information cont-• ed 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 foregorrag 1 d correct. Executed on 1/31/2019 By ! /✓ " �� Date Signature of Treasurer or As nt Treasurer Executed on Executed on Date Executed on Date 1/31/2819 Date 1' By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By By Signature of Controlling Officeholder, Candidate, State Measure Proponent 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 Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Dede Smullen OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member, City of Saratoga RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 15363 Peach Hill Rd Saratoga, CA 95070 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 ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD• SUPPORT • OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dorothea Smullen Amounts may be rounded to whole dollars. Statement covers period from June 31, 2017 through Jan 31, 2019 SUMMARY PAGE 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 $ Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 0 0 $ 0 $ 0 0 $ Column B CALENDAR YEAR TOTAL TO DATE 0 0 0 0 0 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6/30 $ $ 7/1 to Date Expenditures Made 6. 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 0 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ $ 0 0 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 Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 1761.71 0 0 1761.71 $ 0 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructions on reverse $ 0 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ 0 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* (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: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Monetary Contributions Received SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from June 31, 2017 through Jan 31, 2019 Page SCHEDULE A 4 of 13 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (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) ❑ 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 $ 0 0 0 *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 Loans Received SEE INSTRUCTIONS ON REVERSE to whole dollars. from through period covers June 31, 2017 CALIFORNIA 460 FORM Jan 31, 2019 Page 5 of 13 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCBALANCE UPATION SELF-EMPLOYED. ENTEMPLER NAME OF BUSINESS) (a) OUTSTANDING BEG NNING THIS PERIOD (b) AMOUNT RECEIVED THIS PERIOD (c) AMOUNT PAID OR FORGIVEN* THIS PERIOD (d) OUTSTANDING CLOSENOF THIS PERIOD (e) INTEREST PAID THIS PERIOD (t) ORIGINAL AMOUNT OF LOAN (9) CUMULATIVE CONTRIBUTIONS TO DATE Dorothea Smullen Saratoga CA 95070 t ❑ IND ❑ COM ❑ OTH ❑PTY 0 SCC Candidate, Saratoga City Council Chair, Saratoga Planning Commission $ 18865 $ 0 lZi PAID 1016 $ 0 0 , $ 18865 CALENDAR YEAR $ 18865 $ m FORGIVEN 17849 11/7/2019 RATE $ 0 Various PER ELECTION** $ 18865 $ DATE DUE DATE INCURRED t ❑ IND 0 COM 0 OTH ❑PTY El SCC $ $ ❑ PAID $ % $ CALENDAR YEAR $ $ El FORGIVEN RATE $ PER ELECTION ** $ $ DATE DUE DATE INCURRED t ❑ IND ❑ COM 0 OTH ❑PTY ❑ SCC $ $ ❑ PAID $ % $ CALENDAR YEAR $ $ ❑ FORGIVEN RATE $ PER ELECTION** $ $ DATE DUE DATE INCURRED SUBTOTALS $ 0 $ 0 $ 0 $ 0 fx 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.) NET $ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 0 0 a (May be a negative number) (Enter (e) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C to wnoie uonars. Nonmonetary Contributions Received SEE INSTRUCTIONS ON REVERSE from through Statement covers period June 31, 2017 CALIFORNIA 460 FORM Page 6 of 13 Jan 31,_2019 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO DATE CALENDAR YEAR (JAN 1 - DEC 31) PER ELECTION TO DATE (IF REQUIRED) \ ■ IND ■ COM • OTH El PTY ❑ SCC • IND ❑ COM ■ OTH • PTY ■ SCC E IND ❑ COM ■ OTH E PTY ■ SCC ❑ IND ❑ COM ❑ OTH II 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 $ 0 *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 D • SCHEDULE D oummary of cxpenaitures Amounts may De rounded Supporting/Opposing Other to whole dollars. Candidates, Measures and Committees SEE INSTRUCTIONS ON REVERSE Statement covers period from June 31, 2017 CALIFORNIA 460 FORM through Jan 31, 2019 Page 7 of 13 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) • Monetary Contribution • Nonmonetary Contribution Independent Expenditure • Support ■ Oppose • Monetary Contribution • Nonmonetary Contribution • Independent Expenditure ■ Support ■ Oppose • Monetary Contribution • Nonmonetary Contribution • Independent Expenditure ■ Support ■ Oppose SUBTOTAL $ 0 Schedule D Summary 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) $ 0 2. Unitemized contributions and independent expenditures made this period of under $100 $ 0 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) TOTAL $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov CMP CNS CTB CVC FIL FND IND LEG LIT Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dorothea Smullen Amounts may be rounded to whole dollars. Statement covers period from June 31, 2017 through Jan 31, 2019 SCHEDULE E CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, 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) 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 MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID WIX.Com WEB Web Site Hosting Service 289.70 Secretary of Sate of California FIL Late Filing Fees 200 Bank of America Fees for Banking Acct 256 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 745 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 $ 1761 1761 0 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from June 31, 2017 through Jan 31, 2019 SCHEDULE E (CONT.) CALIFORNIA 460 FORM NAME OF FILER Dorothea Smullen 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 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 RAD RFD SAL TEL TRC TRS TSF VOT WEB Page 9 of 13 I.D. NUMBER 1387616 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 PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Dorothea Smullen (Candidate) Partial re -Payment of Loan $1016 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1016 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule F Accrued Expenses (Unpaid Bills) SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement covers period from June 31, 2017 through Jan 31, 2019 SCHEDULE F Page 10 of 13 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 CODES: If one of the following codes accurately describes 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 the payment, you may enter the code. Otherwise, RAD RFD SAL TEL TRC TRS TSF VOT WEB MBR member communications MTG meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads 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, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS $ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals 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 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) for payments on under $100.) 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 G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON REVERSE NAME OF FILER Dorothea Smullen NAME OF AGENT OR INDEPENDENT CONTRACTOR Amounts may be rounded to whole dollars. Statement covers period from June 31, 2017 through Jan 31, 2019 SCHEDULE G 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 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 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. 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) 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* $ 0 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE H Schedule H Amounts may be rounded Loans Made to Others* to whole dollars. SEE INSTRUCTIONS ON REVERSE through Statement covers period June June 31, 2017 CALIFORNIA 460 FORM Jan 31, 2019 Page 12 of 13 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I NUMBER) IF AN INDIVIDUAL, ENTER UPATION -EEMPLOD D, ENTE EMPLOYER OCCBALANCE NAME OF BUSINESS) (a) OUTSTANDING BEGINNING THIS BALANCELOANED PERIOD (b) AMOUNT THIS PERIOD (c) REPAYMENT OR FORGIVENESS THIS PERIOD (d) OUTSTANDING AT CLOSE OF THIS PERIOD (e) INTEREST RECEIVED (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO DATE S S ❑ PAID S % $ CALENDAR YEAR $ S ❑ FORGIVEN S RATE $ PER ELECTION** $ DATE DUE DATE INCURRED $ $ ❑ PAID $ % S CALENDAR YEAR $ $ ❑ 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 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.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ 0 (Enter the net here and on the Summary Page, Column A, Line 7.) (May be a negative number) **If Required FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule I SCHEDULE I Miscellaneous Increases to Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from June 31, 2017 CALIFORNIA 460 FORM through Jan 31, 2019 Page 13 of 13 NAME OF FILER Dorothea Smullen I.D. NUMBER 1387616 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 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 Summary Page, Line 14.) TOTAL $ 0 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov