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COVER PAGE

Recipient Committee
Campaign Statement
Cover Page

Date Stamp

(Government Code Sections 84200-84216.5)


Statement covers period

SEE INSTRUCTIONS ON REVERSE

1. Type of Recipient Committee:

from

01/01/2016

through

04/23/2016

Date of election if applicable:


(Month, Day, Year)

(Also Complete Part 5)

Page

460
of

For Official Use Only

06/07/2016

2. Type of Statement:
X

Primarily Formed Ballot Measure


Committee
Controlled
Sponsored
(Also Complete Part 6)

General Purpose Committee


Sponsored
Small Contributor Committee
Political Party/Central Committee

E-Filed
04/29/2016
09:10:54
Filing ID:
160297120

All Committees Complete Parts 1, 2, 3, and 4.

Officeholder, Candidate Controlled Committee


State Candidate Election Committee
Recall

CALIFORNIA
FORM

Preelection Statement
Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)

Quarterly Statement
Special Odd-Year Report
Supplemental Preelection
Statement - Attach Form 495

Amendment (Explain below)

Primarily Formed Candidate/


Officeholder Committee
(Also Complete Part 7)

I.D. NUMBER

3. Committee Information

Treasurer(s)

1383687

COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE)

NAME OF TREASURER

HOPE Committee Against Measure W

Forrest Hurd
MAILING ADDRESS

STREET ADDRESS (NO P.O. BOX)

CITY

Penn Valley
CITY

STATE

Penn Valley

CA

ZIP CODE

94946

STATE

Penn Valley

CA

ZIP CODE

ZIP CODE

CA

95946

STATE

ZIP CODE

CA

95949

AREA CODE/PHONE

(530)933-8009

NAME OF ASSISTANT TREASURER, IF ANY

AREA CODE/PHONE

Patricia Smith

(530)273-7009

MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX

CITY

STATE

MAILING ADDRESS

AREA CODE/PHONE

CITY

95946

Grass Valley

OPTIONAL: FAX / E-MAIL ADDRESS

AREA CODE/PHONE

(530)270-9273

OPTIONAL: FAX / E-MAIL ADDRESS

psmith9491@gmail.com

forrestleemusic@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 contained herein and in the attached schedules is true and complete. I certify
under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Executed on
Executed on
Executed on
Executed on

www.netfile.com

04/29/2016
Date

Date

Date

Date

By
By
By
By

Forrest Hurd
Signature of Treasurer or Assistant Treasurer

Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor

Signature of Controlling Officeholder, Candidate, State Measure Proponent

Signature of Controlling Officeholder, Candidate, State Measure Proponent

FPPC Form 460 (Jan/2016)


FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov

COVER PAGE - PART 2

Recipient Committee
Campaign Statement
Cover Page Part 2

CALIFORNIA
FORM
Page

of

6. Primarily Formed Ballot Measure Committee

5. Officeholder or Candidate Controlled Committee


NAME OF OFFICEHOLDER OR CANDIDATE

NAME OF BALLOT MEASURE

OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)

BALLOT NO. OR LETTER

RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET)

460

CITY

STATE

JURISDICTION

SUPPORT
OPPOSE

ZIP

Identify the controlling officeholder, candidate, or state measure proponent, if any.


NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

Related Committees Not Included in this Statement:

List any committees


not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME

I.D. NUMBER

NAME OF TREASURER

CONTROLLED COMMITTEE?
YES

COMMITTEE ADDRESS

CITY

COMMITTEE NAME

ZIP CODE

AREA CODE/PHONE

CONTROLLED COMMITTEE?
YES

CITY

www.netfile.com

7. Primarily Formed Candidate/Officeholder Committee

List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

SUPPORT
OPPOSE

SUPPORT
OPPOSE

I.D. NUMBER

NAME OF TREASURER

COMMITTEE ADDRESS

DISTRICT NO. IF ANY

NO

STREET ADDRESS (NO P.O. BOX)

STATE

OFFICE SOUGHT OR HELD

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

NAME OF OFFICEHOLDER OR CANDIDATE

OFFICE SOUGHT OR HELD

NO

SUPPORT
OPPOSE

SUPPORT
OPPOSE

STREET ADDRESS (NO P.O. BOX)

STATE

ZIP CODE

AREA CODE/PHONE

Attach continuation sheets if necessary

FPPC Form 460 (Jan/2016)


FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov

SUMMARY PAGE

Campaign Disclosure Statement


Summary Page

Amounts may be rounded


to whole dollars.

SEE INSTRUCTIONS ON REVERSE

Statement covers period


from

01/01/2016

through

04/23/2016

CALIFORNIA
FORM
Page

of

NAME OF FILER

I.D. NUMBER

HOPE Committee Against Measure W

1383687

Contributions Received
1. Monetary Contributions ...........................................

Schedule A, Line 3

2. Loans Received ......................................................

Schedule B, Line 3

3. SUBTOTAL CASH CONTRIBUTIONS .........................


4. Nonmonetary Contributions ....................................

Add Lines 1 + 2

Column B
CALENDAR YEAR
TOTAL TO DATE

7,612.00

5,000.00
$

12,612.00

7,612.00

12,612.00
0.00

Schedule E, Line 4

7. Loans Made .............................................................

Schedule H, Line 3

1/1 through 6/30

7/1 to Date

20. Contributions
Received
$

$
$

12,612.00

12,612.00

21. Expenditures
Made
$

10,454.51

10,454.51

Expenditure Limit Summary for State


Candidates

Expenditures Made
6. Payments Made .......................................................

0.00

Calendar Year Summary for Candidates


Running in Both the State Primary and
General Elections

5,000.00

0.00

Schedule C, Line 3

5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4

Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)

460

0.00
22. Cumulative Expenditures Made*

8. SUBTOTAL CASH PAYMENTS ....................................

Add Lines 6 + 7

10,454.51

10,454.51

9. Accrued Expenses (Unpaid Bills) ............................... Schedule F, Line 3

0.00

0.00

10. Nonmonetary Adjustment .......................................... Schedule C, Line 3

0.00

0.00

11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10

10,454.51

0.00

10,454.51

Current Cash Statement


12. Beginning Cash Balance .......................

Previous Summary Page, Line 16

13. Cash Receipts ...................................................

Schedule I, Line 4

0.00

Column A, Line 8 above

10,454.51

14. Miscellaneous Increases to Cash ...........................


15. Cash Payments ..................................................
16. ENDING CASH BALANCE ..........

12,612.00

Column A, Line 3 above

2,157.49

0.00

See instructions on reverse

0.00

Add Line 2 + Line 9 in Column B above

5,000.00

Add Lines 12 + 13 + 14, then subtract Line 15

If this is a termination statement, Line 16 must be zero.

17. LOAN GUARANTEES RECEIVED ...........................

Schedule B, Part 2

Cash Equivalents and Outstanding Debts


18. Cash Equivalents ........................................
19. Outstanding Debts .........................

www.netfile.com

To calculate Column B, add


amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column A may be negative
figures that should be
subtracted from previous
period amounts. If this is
the first report being filed
for this calendar year, only
carry over the amounts
from Lines 2, 7, and 9 (if
any).

(If Subject to Voluntary Expenditure Limit)

Date of Election
(mm/dd/yy)

Total to Date

*Amounts in this section may be different from amounts


reported in Column B.

FPPC Form 460 (Jan/2016)


FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov

Schedule A
Monetary Contributions Received

Amounts may be rounded


to whole dollars.

SEE INSTRUCTIONS ON REVERSE

SCHEDULE A
Statement covers period
from

01/01/2016

CALIFORNIA
FORM

through

04/23/2016

Page

NAME OF FILER

02/16/2016

of

I.D. NUMBER

HOPE Committee Against Measure W


DATE
RECEIVED

460

1383687

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR


(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE *

Patricia Smith
Grass Valley, CA

95949

X IND
COM
OTH
PTY
SCC

03/04/2016

Hometown Hydroponics
Grass Valley, CA 95945

IND
COM
X OTH
PTY
SCC

03/28/2016

Annie Belinger
Penn Valley, CA

X IND
COM
OTH
PTY
SCC

95946

03/28/2016

Hometown Hydroponics
Grass Valley, CA 95945

IND
COM
X OTH
PTY
SCC

03/28/2016

Jane Hsuan
Grass Valley, CA

X IND
COM
OTH
PTY
SCC

95949

IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)

Activist
Retired

Web Designer
Self

None
Retired

SUBTOTAL $

AMOUNT
RECEIVED THIS
PERIOD

PER ELECTION
TO DATE
(IF REQUIRED)

300.00

300.00 P2016

$300.00

1,500.00

6,500.00 P2016

$6,500.00

500.00

500.00 P2016

$500.00

5,000.00

6,500.00 P2016

$6,500.00

200.00

200.00 P2016

$200.00

7,500.00

Schedule A Summary

*Contributor Codes

1. Amount received this period itemized monetary contributions.


(Include all Schedule A subtotals.) ........................................................................................................ $

7,500.00

2. Amount received this period unitemized monetary contributions of less than $100 ............................. $

112.00

3. Total monetary contributions received this period.


(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $

7,612.00

www.netfile.com

CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)

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

Statement covers period

Amounts may be rounded


to whole dollars.

SEE INSTRUCTIONS ON REVERSE

from

01/01/2016

through

04/23/2016

(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)

(a)

(b)

OUTSTANDING
AMOUNT
BALANCE
RECEIVED THIS
BEGINNING THIS
PERIOD
PERIOD

(c)

AMOUNT PAID
OR FORGIVEN
THIS PERIOD *

(d)

(e)

(f)

(g)

OUTSTANDING
BALANCE AT
CLOSE OF THIS
PERIOD

INTEREST
PAID THIS
PERIOD

ORIGINAL
AMOUNT OF
LOAN

CUMULATIVE
CONTRIBUTIONS
TO DATE
CALENDAR YEAR

PAID

94946

0.00

5,000.00

0%

X OTH

PTY

0.00

5,000.00

0.00

5,000.00

0.00

DATE DUE

SCC

04/22/2016

OTH

PTY

PER ELECTION **
$

$
DATE DUE

SCC

DATE INCURRED
CALENDAR YEAR

PAID
$

IND

COM

OTH

PTY

SUBTOTALS $

5,000.00 $

0.00 $

DATE INCURRED

5,000.00 $

0.00

(Enter (e) on
Schedule E, Line 3)

1. Loans received this period .................................................................................................................... $


(Total Column (b) plus unitemized loans of less than $100.)

5,000.00

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.)

0.00

www.netfile.com

Schedule B Summary

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.

$
PER ELECTION **

DATE DUE

SCC

*Amounts forgiven or paid by another party also must be reported on Schedule A.


** If required.

RATE

FORGIVEN

P2016 5,000.00

RATE

FORGIVEN

COM

DATE INCURRED
CALENDAR YEAR

IND

5,000.00
PER ELECTION **

PAID

RATE

FORGIVEN

COM

1383687

FULL NAME, STREET ADDRESS AND ZIP CODE


OF LENDER

IND

of

I.D. NUMBER

HOPE Committee Against Measure W

Page

NAME OF FILER

Hope for Silas


Penn alley, CA

460

CALIFORNIA
FORM

Contributor Codes

5,000.00

IND Individual
COM Recipient Committee
(other than PTY or SCC)
OTH Other (e.g., business entity)
PTY Political Party
SCC Small Contributor Committee

(May be a negative number)

FPPC Form 460 (Jan/2016)


FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov

SCHEDULE E

Schedule E
Payments Made

Statement covers period

Amounts may be rounded


to whole dollars.

SEE INSTRUCTIONS ON REVERSE

from

01/01/2016

CALIFORNIA
FORM

through

04/23/2016

Page

NAME OF FILER

I.D. NUMBER

HOPE Committee Against Measure W

1383687

of

460
8

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT

campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings

NAME AND ADDRESS OF PAYEE


(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT

member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads

CODE

OR

RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB

radio airtime and production costs


returned contributions
campaign workers salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)

DESCRIPTION OF PAYMENT

AMOUNT PAID

The Union Newspaper


GrassValley, CA 94945

PRT

2 full page ads in the NC Cannabis newspaper

Foothills Event Center


GrassValley, CA 95945

FND

Deposit on Room Rental

300.00

Wrist-Band.com
Houston, TX 77058

CMP

awareness wrist bands

238.90

Payments that are contributions or independent expenditures must also be summarized on Schedule D.

SUBTOTAL $

1,600.00

2,138.90

Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $

10,454.51

2. Unitemized payments made this period of under $100 .......................................................................................................................................... $

0.00

3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) ............................................................................... $

0.00

4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ............................. TOTAL $

10,454.51

www.netfile.com

FPPC Form 460 (Jan/2016)


FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov

Schedule E
(Continuation Sheet)
Payments Made

SCHEDULE E (CONT.)
Statement covers period

Amounts may be rounded


to whole dollars.

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

from

01/01/2016

through

04/23/2016

CALIFORNIA
FORM
Page

460
of

I.D. NUMBER

HOPE Committee Against Measure W

1383687

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT

campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

YubaNet
Nevada City, CA

Event Helper
Grass Valley, CA

MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT

RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB

member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE

WEB

OR

radio airtime and production costs


returned contributions
campaign workers salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)

DESCRIPTION OF PAYMENT

AMOUNT PAID

WEB Advertising

2,000.00

Event Insurance

104.45

95959

95949

The Union Newspaper


GrassValley, CA 94945

PRT

Ad for 4/20 event

570.00

Grass Valley Printers


Grass Valley, CA 95949

LIT

Printing campaign materials

351.41

4 Over Trade Printers


Glendale, CA 91202

LIT

Educational Brochures

289.75

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

www.netfile.com

SUBTOTAL $

3,315.61

FPPC Form 460 (Jan/2016)


FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov

Schedule E
(Continuation Sheet)
Payments Made

SCHEDULE E (CONT.)
Statement covers period

Amounts may be rounded


to whole dollars.

SEE INSTRUCTIONS ON REVERSE


NAME OF FILER

from

01/01/2016

through

04/23/2016

CALIFORNIA
FORM
Page

460
of

I.D. NUMBER

HOPE Committee Against Measure W

1383687

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT

campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

The Union Newspaper


GrassValley, CA 94945

MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT

CODE

LIT

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

www.netfile.com

RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB

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
OR

radio airtime and production costs


returned contributions
campaign workers salaries
t.v. or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, e-mail)

DESCRIPTION OF PAYMENT

AMOUNT PAID

Deposit on mailer

5,000.00

SUBTOTAL $

5,000.00

FPPC Form 460 (Jan/2016)


FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)
www.fppc.ca.gov

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