Fppc Form 461 – Fill Out and Use This PDF

Major Donor and

Independent Expenditure

Committee Campaign Statement

CALIFORNIA 461 FORM

Who Uses Form 461:*

Major Donors

•An individual or entity that makes monetary or nonmonetary contributions (including loans) to state or local officeholders, candidates and committees totaling $10,000 or more in a calendar year.

“Contribution” includes direct monetary contributions (e.g., tickets to campaign fundraisers), loan guarantees and loan forgiveness, nonmonetary contributions of goods or services, and discounts not provided to the public generally.

Independent Expenditures:

•An individual or entity that makes independent expenditures totaling $1,000 or more in a calendar year to support or oppose state or local candidates or ballot measures.

An “independent expenditure” is an expenditure for a communication that expressly advocates the nomination, election or defeat of a clearly identified candidate or ballot measure that is not made to—or at the behest of—an officeholder, candidate, or committee.

*There are different forms and reporting requirements for committees that receive contributions totaling $1,000 or more during a calendar year (“recipient committees”).

Personal Contributions by Candidates and Officeholders:

Form 461 is also required if, during a calendar year, a candidate or officeholder uses personal funds to make:

•Contributions totaling $10,000 or more to other state or local candidates, officeholders or committees; or

•Independent expenditures totaling $1,000 or more to support or oppose other state or local candidates, officeholders, or ballot measures.

Contribution Limits:

California state candidates and officeholders are subject to contribution limits under state law. Questions about state contribution limits should be directed to the FPPC. In addition, local candidates may be subject to contribution limits imposed by local ordinance. Questions about local limits should be directed to election officials in the local jurisdiction.

Additional Important Information:

Refer to the FPPC Information Manual on Campaign Disclosure for information required to be provided to you pursuant to the Information Practices Act of 1977, and for important information about:

• When and where to file Form 461.

•Aggregation of contributions and expenditures by certain combinations of individuals and entities (e.g., parent and subsidiaries).

•Exceptions to the definition of “contribution" and “expenditure” for certain types of activities (e.g., volunteer personal services, regularly published newsletters).

•Reporting “late contributions” and “late independent expenditures” made during the 16 days immediately prior to an election.

•Form 465–Supplemental Independent Expenditure Report.

This form was prepared by the Fair Political Practices Commission (FPPC). Copies of FPPC forms and informational materials are also available on the FPPC web site (www.fppc.ca.gov).

Instructions for Major Donor and Independent Expenditure Committee Campaign Statement

CALIFORNIAFORM 461

Where to File:

State Elections and Committees Active in More Than One County: If contributions or independent expenditures are made to support or oppose state candidates, measures and committees, or to support or oppose local candidates and measures being voted on in more than one county, file in the following places:

•Secretary of State (original and one copy)

Political Reform Division

1500 11th Street, Room 495 Sacramento, CA 95814 Phone (916) 653-6224 Fax (916) 653-5045 www.ss.ca.gov

•Registrar-Recorder of Los Angeles County

(two copies)

Campaign Reporting Unit 12400 Imperial Highway Norwalk, CA 90650

County Elections: If contributions or independent expenditures are made to support or oppose candidates and measures being voted on in a single county, file with the election official in that county (original and one copy) and file two copies in your county of domicile (if different than the county in which the election is being held).

This filing requirement also applies to contributions or independent expenditures made to support or oppose candidates and measures on the ballot in more than one jurisdiction located within a single county.

City Elections: If contributions or independent expenditures are made to support or oppose candidates and measures being voted on in a single city election, file with the city clerk in that city (original and one copy).

Electronic Filing:

Phone (562) 462-2339

Fax (562) 651-2548

http://lavote.net

•Department of Elections-City and County of San Francisco (two copies)

Campaign Statements

1 Dr. Carlton B. Goodlett Place, City Hall - Rm 48 San Francisco, CA 94102

Phone (415) 554-4375 Fax (415) 554-7344 www.ci.sf.ca.us/election

•The election official for the county in which you are domiciled (two copies). Addresses for county filing officers can be found on the FPPC web site at www.fppc.ca.gov.

Major donor and independent expenditure committees that are required to file reports with the Secretary of State must file Form 461 electronically if they make contributions or independent expenditures totaling $50,000 or more in a calendar year. Paper reports are also required. Some local jurisdictions also require reports to be electronically filed.

FPPC Form 461 (Jan/03) FPPC Toll-Free Helpline: 866/ASK-FPPC 866/275-3772

Instructions for Major Donor and Independent Expenditure Committee Campaign Statement

CALIFORNIAFORM 461

For definitions and detailed information about completing Form 461, refer to the FPPC Information Manual on Campaign Disclosure.

Period Covered by a Statement:

The “period covered” by a campaign statement begins the day after the closing date of the last campaign statement you filed. For example, if the closing date of the last statement was June 30, the beginning date of the next statement will be July 1.

If this is the first campaign statement for the calendar year, begin with January 1.

The closing date of the statement depends on the type of statement you are filing.

Date of Election:

Enter the date of the election if you are filing Form 461 as a city or a county major donor or independent expenditure committee and the city or county’s election will be held this year.

1. Name and Address of Filer:

Enter the legal name of the individual or entity filing the statement. If the filer is commonly known to the public by another name, that name may be used. When a “combination of persons” (e.g., a parent and subsidiaries or a corporation and majority shareholder) makes contributions and independent expenditures that must be reported on Form 461, list the name of each entity.

Enter the name of the responsible officer of an entity or organization filing the statement.

2. Nature and Interests of Filer:

When more than one person or entity is listed under “Name of Filer,” identify the nature and interests of each. (Use appropriately labeled continuation sheets if necessary.)

3. Summary:

Summary totals are calculated from the information itemized in Part 5 of the Form 461 and unitemized payments of less than $100. If this is the first report being filed for a calendar year, enter a zero on line 4 of the summary.

4. Verification:

A responsible officer of an entity or an entity filing jointly with any number of affiliates must sign the Form 461. An attorney or a certified public accountant may sign on behalf of the entity or entities. A statement filed by an individual must be signed by the individual.

Amendments:

To amend previously filed Form 461, check the "Amendment" box, enter the period covered by the statement you are amending, and complete Part 1. Disclose the amended information, including Part 3, if applicable, and complete the Verification.

Instructions for Major Donor and Independent Expenditure Committee Campaign Statement

CALIFORNIAFORM 461

5. Contributions and Expenditures

Date of Contribution:

A monetary contribution is made on the date it is mailed, delivered, or otherwise transmitted to the candidate or committee. A nonmonetary contribution is made on the earlier of the following:

1)the date you made an expenditure for goods or services at the behest of the candidate or committee; or 2) the date the candidate or committee or an agent of the candidate or committee obtained possession or control of the goods or services.

Name and Address of Payee

If a total of $100 or more is contributed or expended during a calendar year to support or oppose a single candidate, committee or measure, disclose the name and address of the payee. If the payee is a committee, also disclose the identification number assigned to that committee by the Secretary of State. If no ID number has been assigned to a committee, provide the name and address of that committee’s treasurer.

Contributions and expenditures of less than $100 to support or oppose a single candidate, committee or measure during a calendar year are totaled and reported as a lump sum on Line 2 of the Summary.

Candidate, Measure or Committee:

Identify the candidate, measure or committee supported or opposed by the contribution or expenditure. Disclose the name of the candidate and the office sought or held; the name of the

ballot measure and its jurisdiction; or the name of the committee if a nonmonetary contribution was made to a general purpose committee. Check the appropriate box to indicate whether the payment was made to support or oppose the candidate or measure listed.

Amount/Cumulative Amount:

Disclose the amount of the contribution or expenditure made this period related to the candidate or committee supported or opposed.

If a single payment supports or opposes more than one candidate or measure, provide the name and address of the vendor. Enter the amount paid to the vendor in the “Description of Payment” column. Identify each candidate or measure, and enter the amount of the contribution or expenditure attributable to each in the “Amount” column.

For each candidate, committee, or ballot measure, also disclose the cumulative amount contributed or expended to date related to the candidate, committee or ballot measure since January 1 of the current calendar year.

Reporting Loans:

Check the “loan” box if you make, forgive, or guarantee a loan. You need not report loan repayments received. If you make and forgive a loan during the same calendar year, report the amount of the forgiveness under “Description of Payment.” The same is true if you guarantee a loan and you make payments to the lender during the same calendar year.

Non-MonetaryContributions:

Report the fair market value of non-monetary contributions. The fair market value is the amount it would cost to purchase the goods or services on the open market, which may be more than the amount it cost to provide them. For example, the fair market value of donated catering services would normally be higher than the actual cost to the caterer.

Reporting Subvendors:

If an agent (including an independent contractor) makes payments on your behalf (“subvendor payments”), disclose those payments in addition to the payments made to the agent. For example, you pay a public relations firm, which pays for an advertisement supporting a ballot measure. In addition to disclosing the payment(s) made to the public relations firm, itemize payments of $500 or more made by the firm related to the advertisement. Do not include payments that are not for the purpose of making contributions or independent expenditures (e.g., for overhead or operating expenses).

Report the name and address of the agent followed by the name and address of each subvendor. Disclose amounts paid to the agent and subvendor in the “Description of Payment” column.