Fill - Free fillable CITY OF ADELANTO Office of the City Clerk (City of Carson, California) PDF form

CITY OF ADELANTO

Office of the City Clerk

Candidate’s Packet for the

2020 Election Year

Brenda Lopez

City Clerk, City of Adelanto

11600 Air Expressway

Adelanto, CA 92301

Phone: (760) 246-2300 ext. 11123

Fax: (442) 249-1121

E-Mail: blopez@ci.adelanto.ca.us

www.ci.adelanto.ca.us

Regular Office Hours:

Open 7 a.m. to 6 p.m. Monday through Thursday

Closed every Friday, and

Closed daily between noon and 1:00 p.m. for

lunch

City Clerk Office Staff:

Virginia Cervantes, Executive Assistant

Table of Contents 
 
Introduction 
 
  Disclaimer/Notice 
  City Clerk’s Letter to Candidates 
  Candidate Qualifications 
  Elected Officials Compensation 
  About City Government 
  Being A Member of the City Council 
  Adelanto’s Form of Government 
 
Candidate Information 
 
  Questions Frequently Asked by Candidates 
  Summary of Forms/Documents 
  FPPC Campaign Statement Deadlines 
  Contact Information 
 
Biographical Form 
 
  Use of Biographical Form 
  Information is a Public Record 
  Form 
 
Nomination Process 
 
  General Notes to Candidates 
  Process for Filing Nomination Papers 
  Example of Nomination Papers 
 
Ballot Designation 
 
  Ballot Designation Worksheet 
  Ballot Designation Regulations (E.C. 13107) 
  Ballot Designation Guide 
  Ballot Designation Election Code Information 
 
Campaign Disclosure Requirements 
 
  Campaign Reporting 
  Campaign Disclosure Manual 2  
Information for Local Candidates 
  Candidate/Treasurer Workshop 
  Getting Started (Campaign Forms) 
  Surplus Funds 
  Statement of Economic Interests Form 700 Example 
  Limitations and Restrictions on Gifts, Honoraria, Travel and Loans (Feb. 2019) 
 
 
 

Table of Contents-Pg. 2 
 
Code of Fair Campaign Practices 
 
  Code of Fair Campaign Practices Form and Information 
  Timing for Filing the Code 
  Code of Fair Campaign Practices Elections Code, Division 20, Chapter 5,  
 
 
Candidate’s Statement of Qualifications – E.C. 18351 
 
  Candidate’s Statement for Official Sample Ballot 
  Cost of Statement 
  Content 
  Word Count  
  Public Viewing Period 
  Writ of Mandate 
  Confidentiality of Statements 
  False Statements/Fines 
  Candidate Statement Style Guidelines (Attachment A & B) 
  Candidate Statement Form  
  Withdrawal of Statement  
 
Campaign Practices Regulations 
 
  Mass Mailing Requirements  (G.C. 84305)  
  Political Sign Regulation (City of Adelanto Municipal Code, Title 17)(Attachment B) 
  Dept. of Transportation Political Signs 
  Temporary Political Signs on Commercial Property 
  Distribution of Notices and Handbills (City of Adelanto Municipal Code, Title 9) 
 
 
Election Activities in General 
 
  Politics in City Hall 
  Solicitation of Political Contributions; Offense; Punishment-G.C.§3205 
  False or Misleading Information to Voters 
  Electioneering on Election Day (E.C. 18370) 
  Candidate Forum 
  Election Night Activities 
  Canvass 
 
 
 
 
 
 

City of Adelanto

Disclaimer/Notice

OFFICE OF THE PH. (760) 246-2300 ext. 11123 or 11124

CITY CLERK FAX (442) 249-1121

THIS CANDIDATE HANDBOOK IS PROVIDED WITH THE

UNDERSTANDING THAT THE CITY CLERK IS NOT ENGAGED IN

RENDERING LEGAL, ACCOUNTING, OR OTHER PROFESSIONAL

SERVICE.

THE ENCLOSED MATERIALS ARE SUPPLIED IN AN EFFORT TO

ACCOMMODATE THOSE PARTIES INTENDING TO BECOME

CANDIDATES FOR ADELANTO MUNICIPAL OFFICE.

ALL PERSONS DESIRING TO BECOME A CANDIDATE ARE

ENCOURAGED TO REFER TO CONSITUTIONAL, STATUTORY,

REGULATORY AND CITY CODE PROVISIONS THAT MAY APPLY TO

ELECTIONS AND CANDIDATES.

City of Adelanto

Adelanto Governmental Center

11600 AIR EXPRESSWAY

ADELANTO, CALIFORNIA 92301

cherrera@ci.adelanto.ca.us

OFFICE OF THE PH. (760) 246-2300

CITY CLERK FAX (442) 249-1121

July 13, 2020

Dear Candidate:

Congratulations on your decision to run for elected public office and your desire to serve the citizens of

the City of Adelanto.

This candidate’s packet has been prepared to help guide you through the election process. In support of

GOING GREEN we have provided a Thumbdrive and have made the Candidates Handbook available on

the City Website www.ci.adelanto.ca.us. The Candidate’s Handbook contains instructions, campaign

form links from FPPC to download, statement of economic interests form, candidate statement

information, and various other information you will need as a candidate for City Council. This

handbook has been prepared to assist Candidates in the election process by providing guidance only. It

is not intended to provide legal advice. Candidates and others using this book must bear full

responsibility for making their own determinations as to legal standards, duties, and factual material.

FPPC will have a Candidate/Treasurer Workshop Webinar on their website. There is a video available

regarding Candidate Treasurer Committees by following the link

https://www.youtube.com/watch?v=sLXfEGpyExw&feature=youtu.be .This workshop helps

the candidate to avoid some of the pitfalls and problems of a campaign.

It is imperative to thoroughly review all information in order to be aware of the responsibilities of a

candidate for public office.

Your nomination paper, ballot designation worksheet, Candidate’s Statement of Qualifications, payment

of fees, Code of Fair Campaign Practices form, Political Sign Notification Sheet, and required FPPC

forms must be filed together, in my office, before the close of the filing period on Friday, August 7

2020, by 12:00 p.m., or if extension of nomination period then to August 12, 2020, by close of

business day.

If I can be of further assistance during the nomination period, please feel free to contact me at ext. 11123

or my elections staff: Executive Assistant to the City Manager, Virginia Cervantes at ext. 11124.

Sincerely,

Brenda Lopez

City Clerk, CMC

Candidate Qualifications/Compensation & About City Government

Candidate Qualifications

A person is eligible to hold office if he/she is a United States citizen, 18 years of age or

older, and is a registered voter residing within the City of Adelanto city limits and shall

have been a bona fide resident of the City for at least thirty (30) days next preceding the

date of the election. A Candidate may not have been convicted of designated crimes

specified in the Constitution and Laws of the State.

The above qualifications will be verified through San Bernardino County voter

registration files prior to the issuance of a nomination package. Elector and resident

status must be maintained during the term of office.

Elected Officials Compensation (Ord. 595)

Members receive $708.40 a month with an optional medical benefit package.

The Mayor receives $924.00 a month with an optional medical benefit package.

About City Government

The City of Adelanto was incorporated in 1970. In 1992, Adelanto City Voters adopted

a City Charter (municipal constitution) and a City Council-City Manager form of

government, which is still used today.

The City Council consists of an elected Mayor and four elected Council Members

serving four year terms. The City has no term limits. Each Council Member must

reside in the City. Elections are staggered, and held in even numbered years.

Measure U (Creating the office of an elected Mayor for a 2-yr. term) was approved by

the City voters on November 5, 2002, which provides for an elected Mayor to serve a 2

year term.

Measure D (To elect the Mayor for a 4-yr. term) was approved by the City voters on

November 2, 2004, which provides for an elected Mayor to serve a 4-year term.

Being a Member of the City Council

In General

Each City Council Member represents the City at large, there are no districts, and serve

as a liaison between the residents, businesses, and City staff. The Council meets at

least once per year to develop the City’s strategic goals. The City Council also

represents the City on the following agencies: Adelanto Public Financing Authority,

Adelanto Public Utility Authority, and Adelanto Community Benefit Corporation.

Meetings

The City Council holds “regular” public meetings every second and fourth Wednesday,

at 7:00 p.m. in the City Council Chambers on the first floor of City Hall. Preceding each

Council Meeting, there is a Closed Session held at 6:00 p.m. Special, Adjourned,

Workshops, and Emergency Meetings may be held as needed.

Special Meetings of the City Council may be called at any time by the Mayor or three

members of the City Council by written notice to each member of the City Council.

Agenda materials are in the form of an electronic agenda packet, which the City Clerk’s

Office produces for the City Council, and makes it available in a Dropbox link it is also

published on the City’s website www.ci.adelanto.ca.us for access by the public from any

internet location. A hardcopy is also provided at the reception’s counter 72 hrs. before

the meeting.

Duties

The Council establishes City policies, ordinances, and land uses; approves the City’s

annual budget, contracts, and agreements; hears appeals of decisions made by city

staff or citizen advisory groups; and appoints a representative to the Planning

Commission / Parks & Recreation Commission.

Other Activities of the City Council

Members of the City Council may also serve as the City’s representative on advisory

boards, committees, agencies, or organizations such as (not all inclusive):

SBCTA

City Select Committee

High Desert Corridor JPA

Victor Valley Transit Authority

Adelanto Community Resource Center

Adelanto Youth Accountability Board

San Bernardino County Solid Waste Mgmt. Division

Mojave Desert Air Quality Mgmt. District – Emission Reductions Committee

League of Calif. Cities Desert Mountain Division

High Desert Opportunity

Mojave Desert Air Quality Mgmt District – Governing Board

Mojave Desert and Mountain Integrated Waste JPA

VVEDA

Questions Frequently Asked by Candidates

Is there a filing fee involved in my candidacy?

There is a filing fee of twenty-five dollars ($25.00) established for processing a

candidate’s nomination papers required to run for municipal office.

What if I change my mind about being a candidate after filing nomination papers?

You may withdraw as a candidate at any time PRIOR to the close of the nomination

period, which is August 7, 2020, by close of business day, or August 12, 2020 by close

of business day if the nomination period is extended). Withdrawal must be submitted

in writing to the City Clerk’s Office. You are NOT permitted to officially withdraw after

that date, and your name will appear on the ballot.

What happens if some of the people whose signatures I obtained on my

nomination papers are not registered voters or do not live within the City?

It is important that you file your nomination papers as early as you can, because the

City Clerk must certify the signatures on nomination papers. If you wait until the last

day, and your sponsors’ signatures, for any reason, are insufficient, you will not have

qualified as a candidate. If you file early, there will be time to check the signatures

and notify you of any insufficiencies; you may have an opportunity to circulate a

supplemental nomination papers to qualify as a candidate.

How soon will a list of qualified candidates be available after the close of the

nomination period?

The nomination period closes on August 7, 2020, at 12:00 p.m. unless an incumbent

does not file and the period is extended to August 12, 2020. A list of candidates will be

prepared the next working day, and should be available for distribution by 6:00 p.m. on

Monday, August 10, 2020, or on Thursday, August 13, 2020. The list will be posted on

the City Hall’s outdoor public display board and outside the City Clerk’s Office.

When will the official results of the election be received and certified as correct?

The Registrar of Voters must canvass the election and certify the results by the fourth

Friday after the election. The City Clerk will present the results to the City Council for its

acceptance at the City Council meeting of December 9, 2020.

When will the newly-elected Council Members take office?

The oath of office will be administered on December 9, 2020 in the City Clerk’s Office,

call for an appointment between 7:00 a.m. – 6:00 p.m. The ceremonial swearing in will

take place at the City Council Meeting of December 9, 2020.

SUMMARY OF FORMS/DOCUMENTS

NOMINATION DOCUMENT

PURPOSE

1. Candidate’s Handbook & Candidate Packet

Explains rules/requirements and has hardcopy

forms, thumbdrive, etc.

2. Declaration of Candidacy (includes ballot

designation and oath of allegiance)

Form that qualifies an individual to be placed

on the official ballot. It must be completed

and filed by the filing deadline.

3. Ballot Designation Worksheet

Each candidate who submits a ballot

designation shall file a ballot designation

worksheet that supports the use of that ballot

designation by the candidate.

4. Candidate’s Statement Form

This form is used to state the education and

qualifications of the candidate. It must be

filed at the time the Declaration of Candidacy

is filed. Filing a statement is optional.

5. Code of Fair Campaign Practices

These are basic principles of decency, honesty,

and fair play, which every candidate for public

office has a moral obligation to uphold. This is

a voluntary form.

6. Campaign Disclosure Filing Forms &

Instructions

These forms are used to disclose campaign

receipts and expenditures. Appropriate forms

and instructions will be given to comply with

FPPC rules on establishing accounts, reporting

contributions and expenditures, etc.

7. Statement of Economic Interests

The Form 700 (SEI) must be filed by the close

of the nomination period

CONTACT INFORMATION

Adelanto City Clerk

11600 Air Expressway

Adelanto, CA 92301

PH: (760) 246-2300 ext. 11123

FAX: 442-249-1121

E-mail: BLopez@ci.adelanto.ca.us

City of Adelanto

Access to Adelanto City Municipal

Code and City Charter

Internet:

http://library.amlegal.com/nxt/gateway.dll/California/adelanto_ca/

San Bernardino County

Registrar of Voters

777 East Rialto Avenue

San Bernardino, CA 92415-0770

1-909-387-8300

FAX: 909-387-2022

Leslie Yeun (Exec. Sec. ) 909-387-2083

Fair Political Practice Commission

428 J Street, Ste. 450

P.O. Box 807

Sacramento, CA 95812-0807

Technical Assistance Division (916) 322-5660 or

866-ASK-FPPC (toll free)

Website: www.fppc.ca.gov

Secretary of State

1500 11

th

Street, Room 495

P.O. Box 1467

Sacramento, CA 95812-1467

Political Reform Division: (916) 653-6224

FAX: (916) 653-5045

State Attorney General

Brown Act Requirements

PH: (800) 952-5225

Internet: http://www.caag.state.ca.us

E-mail: PIU@DOJ.ca.gov

Biographical Form

Use of Biographical Form

As a courtesy to the public, news media and the City, a candidate may submit a

biographical form (in a form provided by the Clerk) disclosing personal information

about his/her background, family, education, memberships and hobbies. Alternate

formats or supplemental information will not be accepted.

If the candidate elects to submit this form, it must be filed on the filing deadline for

nomination documents. Submission of this form is optional. (Enclosed is biographical

form)

Information is a Public Record

If you choose to submit the Biographical Form, it will be used to provide information

over the phone and will be posted on the Internet. As this information is a public record

and will be duplicated at the request of any interested party, candidates are encouraged

to provide legible, accurate and verifiable information.

Biographical Form

Name:________________________________________________________________

Address:_______________________________________________________________

Date of Place of Name of

Birth:_______________ Birth:__________________ Spouse:______________

Names and Ages of Children:_____________________________________________

_____________________________________________________________________

Years of Residency in City:________________ Formerly of:_____________________

Occupation:____________________________

Education & Training:____________________________________________________

______________________________________________________________________

Service Record:_________________________________________________________

______________________________________________________________________

Membership and Offices Held in Civic, Religious, Fraternal or Technical Associations:

______________________________________________________________________

Hobbies:______________________________________________________________

______________________________________________________________________

Campaign Manager/Treasurer Name:

Campaign Phone #:__________________ E-mail Address:

Home Phone #:____________________ Business Phone #:_____________________

Cell Phone #:

I authorize the City to post the information above on the Internet and release it to the public in

connection with my candidacy:

Date:__________________ _____________________________________

Signature

- THIS DOCUMENT IS PUBLIC INFORMATION -

General Notes to Candidates

CANDIDATES MUST PERSONALLY FILE THEIR PAPERS FOR THE FOLLOWING

REASONS:

a. The candidate must take the Oath of Affirmation, administered by the City Clerk

or her Deputy.

b. The candidate’s signature is required on many documents involved in the

election process.

c. If through an oversight the nomination papers are incomplete, the problem can

easily be rectified when the candidate files in person.

Since there are a number of instructions to review and documents to complete, it is

strongly recommended that candidates make appointments with the City Clerk (760)

246-2300 ext. 11123 to file paperwork at the Office of the City Clerk, City Hall, 11600 Air

Expressway, Adelanto. Please allow a minimum of 45 minutes to 1 hour to file

nomination papers.

You are considered a candidate when your nomination documents have been filed and

verified.

Ballot order of Candidates

The drawing of the letters of the alphabet for order of candidates’ names on the ballot

will be done by the Secretary of State on August 13, 2020. We will notify the

candidates of the ballot order.

Withdrawal of Candidacy/Candidate Statement

Candidates may withdraw their Nomination until the close of the nomination period

August 7, 2020, by close of business day, or if extension of nomination period then to

August 10, 2020, by close of business day. The $25 filing fee is not refundable.

Candidates may withdraw their candidate statements August 10, 2020, by close of

business day, unless there is an extension of the nomination period then August 13,

2020, by close of business day. Withdrawal of candidate statements must be in writing

to the City Clerk. A refund of the estimated cost for printing the statement will be made

within 30 days of the election.

NOTE: Once a statement is withdrawn, it cannot be filed again.

The fee paid for the estimated cost of printing the Candidate’s Statement will be

reimbursed if the candidate withdraws no later than the above date and time.

A candidate is not permitted to withdraw his/her nomination after close of business on

August 10, 2020, or if extension of nomination period then August 13, 2020 by close of

business day and the candidate’s name will appear on the ballot.

Process for Filing Nomination Papers

Nomination Period

The nomination period for obtaining and submitting candidacy documents for Two City

Council positions is Monday, July 13, 2020, through Friday, August 7, 2020 by 12:00

p.m.

Time extension: If an incumbent fails to file then the candidates shall have from 7:00

a.m. until close of business day on Wednesday, August 12, 2020

Nomination Papers

Pick up the candidate packet from the City Clerk’s office it will have your nomination

petition paper and other documents.

It is recommended that you submit your nomination petition paper to the City Clerk’s

Office well in advance of the deadline in case it is determined that you do not have the

required minimum valid signatures, thus allowing you sufficient time to remedy the

situation before the filing deadline. (See attached example of Nomination Petition

document.)

 A candidate for a City Council position shall obtain the valid signatures of not less

than 20 nor more than 30 registered voters of the City.

Only the signatures of persons registered to vote within the City of Adelanto will be valid

to sign or circulate City Council nomination papers. A person registered to vote within

the City of Adelanto may sign up to two nomination papers of City Council candidates,

one for each of the two seats to be filled. Only one person may circulate the

nomination paper. A candidate may either circulate his/her own nomination paper or

may appoint another person to act as a circulator. The Declaration of Circulator and

Affidavit of Nominee must be completed before submitting the nomination paper to the

City Clerk’s Office.

Circulators are required to execute a sworn statement that all the signatures they

obtained in the nomination paper were made in their presence. After the circulator

signs the sworn statement (on last page of nomination paper) as to the validity of the

signatures, the candidate should complete and file the nomination paper along with the

other required documents with the City Clerk.

Once a nomination paper is filed with the City Clerk’s Office, the nomination paper may

not be returned to the candidate to obtain additional signatures. If the nomination paper

is determined to be insufficient or the candidate fails to obtain the correct number of

valid signatures on his or her nomination paper, the election official shall retain the

original nomination paper, provide a copy of the nomination paper to the candidate with

an indication of which signatures are valid, and issue one supplemental petition to the

Process for Filing Nomination Papers – Pg. 2

candidate on which the candidate may collect additional signatures. The supplemental

petition shall be filed not later than the last day for filing for City Council. The form of

the supplemental petition shall be the same as the nomination paper, except that the

word “Supplemental” shall be inserted above the phrase “Nomination Paper.”

 There are two vacancies for Member of the City Council, therefore, a registered

voter may nominate up to two individuals for the City Council office.

Once the minimum requisite number of signatures has been verified, the verification

process ceases. The City Clerk will notify the candidate of the verification results.

List of Candidates

A list of qualified candidates will be available the next working day after the close of the

nomination period on August 8, 2020, or if there is an extension then August 13, 2020,

for distribution by close of business day.

Ballot Designation Worksheet

General Municipal Election

November 3, 2020

Name of candidate:

First

Middle

Last

Office sought:

Office Name

Office Term

Current residence address:

Street

City

Zip

Mailing address (if different):

Street/PO BOX

City

Zip

Contact information:

Residence Phone

Business Phone

Cell Phone

E-mail:

Authorized Contact:

Name

Authorization Level

Contact information:

Home Phone

Business Phone

E-mail:

A ballot designation appears under the candidate’s name on the ballot and describes that candidate’s principal profession, vocation or

occupation. The Ballot Designation Worksheet is a form that candidates use to request a ballot designation and to justify the reason for

requesting that designation. There are specific rules regarding selecting a ballot designation, and these rules are outlined in Cal. Code of

Regulations Code §20710-20719 and Cal. Elec. Code. §13107. Ballot designation requirements include but are not limited to the

following:

 A ballot designation represents a candidate’s true principal profession, vocation or occupation

 A ballot designation may not be more than three words

 An elected official may use “Incumbent” or his/her full official title as the ballot designation. Official elected titles are not subject

to the three word limit

 An appointed official may use “Appointed Incumbent” or his/her full official title, accompanied with the word “appointed,” as the

ballot designation. Official titles are not subject to the three word limit

 A ballot designation is limited to approximately 48 characters including spaces and punctuation

Proposed Ballot Designation:

1st alternative:

2nd alternative

Occupation justifying Ballot Designation:

Employer name or business:

Job Title:

Dates in position: From:

To:

Person(s) who can verify this information:

Name:

Phone Number:

Name:

Phone Number:

Name:

Phone Number:

There are specific laws and regulations that govern whether or not a ballot designation is acceptable or unacceptable for printing on the

ballot. These rules are outlined in California Elections Code sections §13107, §13107.3, §13107.5 and California Code of Regulations

sections §20710-20719. The laws and regulations on ballot designations are complex, and may be challenging to navigate. Please refer to

the Candidate Filing Guide for assistance with navigating these laws and regulations.

Supporting Documentation Justifying Proposed Ballot Designations:

California Code of Regulations §20717(c) dictates that the candidate shall have the burden of establishing that the proposed ballot

designation is accurate and complies with all provisions of Elections Code and California Code of Regulations.

California Code of Regulations §20717(a) dictates that time is of the essence regarding all matters pertaining to the review of ballot

designations submitted by candidates. Failure to promptly submit requested supporting documentation will preclude consideration of such

materials in and the rendering of a final decision on the candidate’s proposed ballot designation.

The Registrar of Voters requires candidates to provide documentation to support their principal profession(s), vocation(s), or

occupation(s). Candidate are encouraged to provide supporting documentation at the time they file the Ballot Designation Worksheet. If a

candidate is not able to provide documentation at the time of filing, the Registrar of Voters allows candidates to provide supporting

documentation within three business days from filing the Ballot Designation Worksheet. If a candidate fails to provide supporting

documentation, the Registrar of Voters may not approve the candidate’s designation for printing on the ballot.

In the space below, please describe your principal profession(s), vocation(s), or occupation(s). Also, please submit substantial

documentation that demonstrates that your profession(s), vocation(s), or occupation(s) meet the definition for principal. In the space

below, please itemize the documentation you are submitting.

I understand that my ballot designation will be translated and printed in Spanish. When translating my ballot designation in Spanish, I

request that the Registrar of Voter (check only one option below):

Translate my statement using female nouns and pronouns, or

Translate my statement using male nouns and pronouns.

To the best of my knowledge and belief, the above-requested ballot designation(s) represent my true principal profession(s), vocations(s),

or occupation(s). Furthermore, I understand that the Elections Office will not accept any ballot designation that violates any rules outlined

in either the California Code of Regulations §20710-20719, or the Cal. Elec. Code §13107.

Executed on ____________________ at San Bernardino, California.

Signature of Candidate

ISSUED

FILED

By: _______________________________________

Date: _____________________________________

Ballot Designations (E.C. 13107)

BALLOT DESIGNATION WORKSHEET

Each candidate who submits a ballot designation shall file a ballot designation

worksheet that supports the use of that ballot designation by the candidate. The

candidate’s ballot designation is the designation that will be printed next to your name

on the ballot. (See enclosed ballot worksheet).

A ballot designation is a brief description, generally not more than three words, that

candidates provide to describe themselves on the ballot. The ballot designation is

found on page 4 of the Nomination Paper (petition). You will need to decide this

designation when the nomination papers are filed.

Ballot designations must strictly adhere to the provisions of the California Elections

Code. After the filing of nomination documents, the City Clerk will review and verify that

each designation is in compliance. If a ballot designation does not adhere to the

Elections Code, the candidate will be notified that the designation must be changed.

The Clerk will notify the candidate by registered mail or certified mail, e-mail, return

receipt requested, addressed to the mailing address appearing on the candidate’s

nomination documents. If the candidate does not respond within three days of the

notification, the clerk will withdraw the designation. No ballot designation given by a

candidate shall be changed by the candidate after the final date for filing

nomination documents.

A candidate may submit a proposed ballot designation pursuant to any one of the four

provisions specified in Elections Code. The candidate shall be free to select from one

of the applicable four sections. The designation shall be submitted by completing a

“Ballot Designation Worksheet” and attaching verifying materials.

BALLOT DESIGNATION REGULATIONS

The four types of ballot designations as outlined in Elections Code are:

1. The name of the candidate’s elective office;

2. The term “incumbent” as it refers to the current holder of the office;

3. The principal profession, vocation, or occupation of the candidate; or

4. The term “appointed incumbent” as it refers to appointed officers.

 Name of Candidate’s Elective Office

In the case of candidates holding elective office, or a judicial officer, the designation

shall be the elective office the candidate holds at the time of filing nomination

documents. There is no word limit for designations under this category. A copy of the

candidate’s official “certificate of election” shall be attached to the Ballot

Designation Worksheet as proof of elective office. Or, if a judicial officer, a copy of the

“certificate of appointment”.

Ballot Designations – Pg. 2

 Term “Incumbent”

The term “incumbent” must be used as a noun. It shall not be used in conjunction with

any other words, including any accompanying adjectives or modifiers. It must stand

alone, and may not be used as an adjective in any other ballot designation. A copy of

the candidate’s official “certificate of election” shall be attached to the Ballot

Designation Worksheet as proof of elective office.

 Principal Profession, Vocation, or Occupation

The term “principal” as used by the Elections Code means a substantial involvement of

time and effort such that the activity is one of the primary, main or leading professional,

vocational or occupational endeavors of the candidate. The term precludes any activity

which does not entail a significant involvement on the part of the candidate.

Involvement which is only nominal, pro forma, or titular in character does not meet the

requirements of the statute. For more information, refer to “unacceptable ballot

designations” below. The term “profession” means a field of employment requiring

special education or skill and requiring specific knowledge of a particular discipline of

learning or science. The labor and skill involved in a profession is predominantly mental

or intellectual, rather than physical or manual. Recognized professions generally

include, but are not limited to, law, medicine, education, engineering, accountancy, and

journalism. Examples of an acceptable designation of a “profession,” as defined in

Elections Code, include, but are not limited to, “attorney,” “physician,” “architect,” and

“teacher.”

The term “vocation” means a trade, a religious calling, or the work upon which a person,

in most but not all cases, relies for his or her livelihood and spends a major portion of

his or her time. As defined, vocations may include, but are not limited to, religious

ministry, child rearing, homemaking, elderly and dependent care, and engaging in

trades such as carpentry, cabinetmaking, plumbing, and the like. Examples of an

acceptable designation of a “vocation,” as defined in Election Code, include, but are not

limited to, “minister,” “priest,” “mother,” “father,” “homemaker,” “dependent care

provider,” “carpenter,” “plumber,” “electrician,” and “cabinetmaker”.

The term “occupation” means the employment in which one regularly engages or

follows as the means of making a livelihood. Examples of an acceptable designation of

an “occupation”, as defined in Elections Code, but are not limited to, “rancher,”

“restaurateur,” “retail salesperson,” “manual labor,” “construction worker,” “computer

manufacturing executive,” “military pilot,” “secretary,” and “police officer.”

If a candidate is licensed by the State of California to engage in a profession, vocation

or occupation, the candidate is entitled to consider it his/her “principal” profession,

vocation or occupation if: 1) the candidate has a current license as of the date of filing

nomination documents and has complied with all applicable requirements respective of

the licensure, such as payment of licensing fees; and 2) a status of the license is active

at the time of filing nomination documents. A candidate may not use a ballot

designation based on a license that is inactive, suspended or revoked by the issuing

agency.

Ballot Designations – Pg. 3

A candidate may engage in multiple principal professions, vocations or occupations.

Accordingly, the candidate may designate multiple principal professions, vocations or

occupations. If a candidate proposes a designation of this type, the designation must

be limited to three words and be separated by a slash “/”. Each principal profession,

vocation or occupation must independently qualify as a principal profession, vocation or

occupation. An example of an acceptable designation would be

“Legislator/Rancher/Physician.”

A designation shall be limited to three words. Punctuation shall be limited to the use of

a comma “,” or a slash “/”. A hyphen may be used if, and only if, the use of the hyphen

is called for in the spelling of the word as it appears in a standard reference dictionary of

the English language. An acronym shall be counted as one word.

All California geographical names shall be considered to be one word and shall be

limited to the names of cities, counties, and states. The names of special districts and

political subdivisions are not “geographical names,” as the term is used in Election

Code. If the candidate desires, the geographical name may be used in the form of “City

of ….,” “County of ….,” or “City and County of ….” Examples of geographical names

considered to be one word include Tehama County, Los Angeles County and County of

Sacramento.

In the event the candidate does not have a current principal profession, vocation or

occupation at the time of filing nomination documents, the candidate may use a ballot

designation consisting of principal profession, vocation or occupation which the

candidate was principally engaged in during the calendar year immediately preceding

the filing of nomination documents.

 Term “Appointed Incumbent” or “Appointed”

A candidate may propose a ballot designation consisting of the phrase “appointed

incumbent” if the candidate holds an office, other than a judicial office, by virtue of

appointment, and the candidate is a candidate for election to the same office. The

candidate may not use the unmodified word “incumbent” or any words designating the

office unmodified by the word “appointed.”

A candidate may propose a ballot designation consisting of the word “appointed” in

conjunction with the elective office, if the candidate is a candidate for election to the

same office or to some other office. The candidate may not use any words designating

the office unmodified by the word “appointed.”

There shall be no word count limitation applicable to ballot designations under this

category.

For candidates proposing the designation of “appointed incumbent”, the candidates

shall indicate the date on which he/she was appointed. This may be confirmed by

submitting a copy of the “certificate of appointment” with the Ballot Designation

Worksheet.

Ballot Designations – Pg. 4

UNACCEPTABLE BALLOT DESIGNATION

Any ballot designation that is prohibited by Elections Code, is misleading, or otherwise

improper will be rejected as unacceptable.

The following types of activities are distinguished from professions, vocations or

occupations and are not acceptable as designations:

1. Avocations: An avocation is a casual or occasional activity, diversion or hobby

pursued principally for enjoyment and in addition to the candidate’s principal

profession, vocation or occupation. Avocations may include, but are not limited

to, hobbies, social activities, volunteer work, and matters pursued as an amateur.

2. Pro Forma Professions, Vocations and Occupations: Pro forma professions,

vocations or occupations are positions held by the candidate which consume little

or none of the candidate’s time and which, by their nature, are voluntary or for

which the candidate is not compensated. Pro forma professions, vocations and

occupations may include, but are not limited to, such pursuits as honorary peace

officer, volunteer firefighter, honorary chairperson, honorary professor, goodwill

ambassador, official host or hostess and the like.

3. Statuses: A status is a state, condition, social position or legal relation of the

candidate to another person, persons or the community as a whole. A status is

generic in nature and generally fails to identify with any particular specificity the

manner by which the candidate earns his or her livelihood or spends the

substantial majority of his or her time. Examples of a status include, but are not

limited to, philanthropist, activist, patriot, taxpayer, concerned citizen, husband,

wife, and the like.

A ballot designation shall not:

1. Be comprised of or include commercial identification information, such as a

trademark, service mark, trade name, or the specific name of a business,

partnership, corporation, company, foundation, or organization. Examples of an

improper use of commercial identification information include, but are not limited

to, “Acme Company President,” “Universal Widget Inventor,” “Director, Smith

Foundation,” “UCLA Professor,” and the like.

2. Suggest an evaluation of the candidate’s qualifications, honesty, integrity,

leadership abilities or character. Any laudatory or derogatory adjectives which

would suggest an evaluation of the candidate’s qualifications shall not be

permitted. Such impermissible adjectives include, but are not limited to,

“outstanding,” “leading,” “expert,” “virtuous,” “eminent,” “best,” “exalted,”

“prominent,” “famous,” “respected,” “honored,” “honest,” “dishonest,” “corrupt,”

“lazy,” and the like.

Ballot Designations – Pg. 5

3. Abbreviate the word “retired” or place it following any word or words which it

modifies. Examples of impermissible designations include “Ret. Army General,”

“Major USAF, Retired” and “City Attorney, Retired.”

The use of the word “retired” in a ballot designation is generally limited for use by

individuals who have permanently given up their chosen principal profession,

vocation or occupation. The following will be considered by the Clerk for any

designation including the word retired:

a. Prior to retiring from his or her principal profession, vocation or

occupation, the candidate worked in such profession, vocation or

occupation for more than 5 years;

b. The candidate is collecting, or eligible to collect, retirement benefits or

other type of vested pension;

c. The candidate has reached at least the age of 55 years;

d. The candidate voluntarily left his or her last professional, vocational or

occupational position;

e. If the candidate is requesting a ballot designation indicating that he or she

is a retired public official, the candidate must have previously voluntarily

retired from public office, not have been involuntarily removed from office,

not have been recalled by voters, and not have surrendered the office to

seek another office or failed to win reelection to the office;

f. The candidate has not had another more recent, intervening principal

profession, vocation or occupation; and,

g. The candidate’s retirement benefits are providing him or her with a

principal source of income.

4. Use a word or prefix to indicate a prior profession, vocation, occupation or

elected, appointed or judicial office previously held by the candidate. Such

impermissible words or prefixes include, but are not limited to, “Ex-,” “former,”

“past,” and “erstwhile.” Examples of impermissible designations include “Former

Congressman,” “Ex-Senator,” and “Former Educator.”

5. Include the name of any political party.

6. Include a word(s) referring to a racial, religious, or ethnic group.

7. Expressly contains or implies any ethnic or racial slurs or ethnically or racially

derogatory language.

8. If the candidate is a member of the clergy, the candidate may not make reference

to his/her specific denomination. However, the candidate may use his or her

clerical title as a ballot designation (e.g. “Rabbi,” “Pastor,” “Minister,” “Priest,”

“Bishop,” “Deacon,” “Monk,” “Nun,” “Imam,” etc.)

9. Refers to any activity prohibited by law. Unlawful activity includes any activities,

conduct, professions, vocations, or occupations prohibited by state or federal

law.

Revised 6/22/2020

Ballot Designation

Worksheet Guide

November 3, 2020

This Page Was Left Blank Intentionally

2

1.

Has the candidate filed a Declaration of Candidacy?

YES ☐

Continue to #2

NO ☐

Candidate must

complete a

Declaration of

Candidacy.

Continue to #2

2.

Has the candidate indicated on the Declaration of Candidacy that

they want a ballot designation to appear on the ballot?

YES ☐

Continue to #3

NO ☐

A Ballot Designation

Worksheet is optional

and the candidate is not

required to complete.

3.

Has the candidate, or a person authorized to act on the

candidate’s behalf, provided their name, office, residence

address, and telephone numbers on the Ballot Designation

Worksheet? (E-mail, business address, and mailing address are

to be provided only if applicable)

YES ☐

Continue to #4

NO ☐

The candidate, or

person authorized to act

on candidates’ behalf,

must provide the listed

information on the

Ballot Designation

Worksheet. When

completed

continue to #4

4.

Has the candidate proposed a ballot designation and alternate

ballot designations?

YES ☐

Continue to #5

NO ☐

Alternate ballot

designations are

optional, but highly

advised. Continue to #5

ELECTIVE OFFICE TITLE

5.

Does the candidate’s proposed ballot designation refer to a

currently held elective office?

YES ☐

Continue to #6

NO ☐

Continue to #13

6.

Has the candidate presented a Certificate of Election or a

Certificate In-Lieu of Election?

YES ☐

Continue to #9

NO ☐

Election Official must

verify status as

officeholder, then

continue to #7

7.

Was the candidate appointed to their current term?

YES ☐

Continue to #8

NO ☐

Candidate must provide

Certificate of Election,

then continue to #9

8.

Does the proposed ballot designation contain the word

“appointed?”

YES ☐

Continue to #9

NO ☐

Candidate must use the

word “appointed” in their

proposed Ballot

Designation, then

continue to #9

9.

Does the proposed ballot designation contain the candidate’s full

elective office title?

YES ☐

Continue to #12

NO ☐

Continue to #10

10.

Does the proposed ballot designation contain the word

“incumbent?”

YES ☐

Continue to #11

NO ☐

Candidate’s ballot

designation must be full

elective office title,

“incumbent” or

“appointed incumbent.”

Select a different ballot

designation, then

return to #5.

3

11.

In addition to “incumbent” or “appointed incumbent,” has the

candidate designated any other professions, vocations or

occupations?

YES ☐

Candidate may not

designate any other

professions, vocations or

occupations with

“incumbent” or

“appointed incumbent.”

NO ☐

Continue to #36

REFERENCE - 2 CA ADC § 20713(b) reads as follows:

The term “incumbent” must be used as a noun. It shall not be used in conjunction with any other words, including any accompanying

adjectives or modifiers, and must stand alone.

REFERENCE – 2 CA ADC § 20715(a)(b) reads as follows:

(a) Pursuant to Elections Code § 13107, subdivision (a)(4), a candidate may propose a ballot designation consisting of the phrase “appointed

incumbent” if the candidate holds an office, other than a judicial office, by virtue of appointment, and the candidate is a candidate for election

to the same office. The candidate may not use the unmodified word “incumbent” or any words designating the office unmodified by the word

“appointed.”

(b) Pursuant to Elections Code § 13107, subdivision (a)(4), a candidate may propose a ballot designation consisting of the word “appointed” in

conjunction with the elective office, if the candidate is a candidate for election to the same office or to some other office. The candidate may

not use any words designating the office unmodified by the word “appointed.”

12.

In addition to their elective office title, has the candidate

designated any other professions, vocations or occupations?

YES ☐

Continue to #13

NO ☐

Continue to #36

REFERENCE – 2 CA ADC § 20714(g) reads as follows:

A candidate who chooses to include the name of his or her elective office with another profession, vocation, or occupation may do so.

Examples of acceptable designations under this section include:

“State Senator/Rancher,” “California Assemblywoman/Attorney,” “County Supervisor/Teacher,” and “State Controller/Businessman.”

Examples of unacceptable designations under this section include “Assemblyman, 57th District/Educator,” “California State

Senator/Architect,” “Placer County Supervisor/Business Owner,” and “Member, Board of Equalization/Banker.”

PRINCIPAL PROFESSION, VOCATION, OR OCCUPATION

13.

Has the candidate designated multiple principal professions,

vocations or occupations?

YES ☐

Continue to #14

NO ☐

Continue to #15

14.

Has the candidate separated the multiple principal

professions, vocations or occupations with a “/”?

YES ☐

Continue to #15

NO ☐

Candidate must

separate principal

professions, vocations or

occupations with a “/”,

then Continue to #15

REFERENCE – 2 CA ADC § 20714(e) reads as follows:

A candidate may engage in multiple principal professions, vocations or occupations. Accordingly, the candidate may designate multiple

principal professions, vocations or occupations. If a candidate proposes a ballot designation including multiple principal professions, vocations

or occupations, the proposed ballot designation must comply with the following provisions:

…(3) When multiple professions, vocations or occupations are proposed as a ballot designation, they shall be separated

by a slash (“/”). An example of an acceptable designation would be “Legislator/Rancher/Physician.”

15.

Is the proposed ballot designation grammatically correct,

generic, and are all words spelled correctly?

YES ☐

Continue to #16

NO ☐

Candidate must re-write

ballot designation then

Continue to #16

16.

Does the proposed ballot designation use any punctuation

other than a comma (e.g., District Attorney, Los Angeles

County), a slash (e.g., Legislator/Rancher/Physician), or a

hyphen as called for in the spelling of a word?

YES ☐

Candidate must

re-write ballot

designation.

Continue to #17

NO ☐

Continue to #17

REFERENCE – 2 CA ADC § 20714(f)(2) reads as follows:

Punctuation shall be limited to the use of a comma (e.g., District Attorney, Los Angeles County) and a slash (e.g.,

legislator/Rancher/Physician)... A hyphen may be used if, and only if, the use of a hyphen is called for in the spelling of a word as it appears in

a standard reference dictionary of the English language which was published in the United States at any time within the 10 calendar years

immediately preceding the election…

4

17.

Does the proposed ballot designation contain more than three

words designating the current principal profession, vocation,

or occupation of the candidate?

YES ☐

Continue to #18

NO ☐

Continue to #20

18.

Based on the three word count rule, does the proposed ballot

designation include words that are considered one word, such

as California geographical names or acronyms?

(e.g. Tehama County, Los Angeles County and County of

Sacramento)

YES ☐

Continue to #19

NO ☐

Candidate must re-write

ballot designation.

Return to #5

REFERENCE - 2 CA ADC § 20714(f)(3)(4) reads as follows:

(f)…The following rules shall govern the application of the three word limitation:

(3) All California geographical names shall be considered to be one word and shall be limited to the names of cities, counties and states. The

names of special districts and political subdivisions are not “geographical names”… If the candidate desires, the geographical name may be

used in the form of “City of . . . ,” “County of . . . ,” or “City and County of . . .” Examples of geographical names considered to be one word

include Tehama County, Los Angeles County and County of Sacramento…

(4)An acronym shall be counted as one word.

19.

Does the proposed ballot designation contain more than three

words that is not the elected title after applying the three word

count rule?

YES ☐

Candidate must

re-write ballot

designation.

Return to #5

NO ☐

Continue to #20

20.

Is the candidate currently engaged in the principal

professions, vocations, or occupations selected as the ballot

designation?

YES ☐

Continue to #22

NO ☐

Candidate must use

current principal

professions, vocations

or occupations. If none,

continue to #21

21.

Was the candidate engaged in the principal professions,

vocations, or occupations selected as the ballot designation

during the calendar year immediately preceding this filing?

YES ☐

Continue to #22

NO ☐

Candidate must re-write

ballot designation.

Return to #5

REFERENCE - 2 CA ADC § 20714(d) reads as follows:

If the candidate is engaged in a profession, vocation or occupation at the time he or she files his or her nomination documents, the

candidate's proposed ballot designation is entitled to consist of the candidate's current principal professions, vocations and occupations. In

the event the candidate does not have a current principal profession, vocation or occupation at the time he or she files his or her nomination

documents, the candidate may use a ballot designation consisting of his or her principal professions, vocations or occupations, which the

candidate was principally engaged in during the calendar year immediately preceding the filing of the candidate's nomination papers.

22.

Is the proposed ballot designation factually accurate,

descriptive of the candidate's principal profession, vocation or

occupation?

YES ☐

Continue to #23

NO ☐

Candidate must re-write

ballot designation.

Return #5

REFERENCE – 2 CA ADC § 20714(a)(b) reads as follows:

(a)The terms “profession,” “vocation,” or “occupation,” as those terms are used in Elections Code § 13107, subdivision (a)(3), are defined as

follows:

(1) “Profession” means a field of employment requiring special education or skill and requiring knowledge of a particular discipline. The labor

and skill involved in a profession is predominantly mental or intellectual, rather than physical or manual. Recognized professions generally

include, but are not limited to, law, medicine, education, engineering, accountancy, and journalism. Examples of an acceptable designation of

a “profession,” as defined in Elections Code § 13107, subdivision (a)(3), include, but are not limited to, “attorney,” “physician,” “accountant,”

“architect,” and “teacher.”

(2) “Vocation” means a trade, a religious calling, or the work upon which a person, in most but not all cases, relies for his or her livelihood and

spends a major portion of his or her time. As defined, vocations may include, but are not limited to, religious ministry, child rearing,

homemaking, elderly and dependent care, and engaging in trades such as carpentry, cabinetmaking, plumbing, and the like. Examples of an

acceptable designation of a “vocation,” as defined in Elections Code § 13107, subdivision (a)(3), include, but are not limited to, “minister,”

“priest,” “mother,” “father,” “homemaker,” “dependent care provider,” “carpenter,” “plumber,” “electrician,” and “cabinetmaker.”

(3) “Occupation” means the employment in which one regularly engages or follows as the means of making a livelihood. Examples of an

acceptable designation of an “occupation,” as defined in Elections Code § 13107, subdivision (a)(3), include, but are not limited to, “rancher,”

“restaurateur,” “retail salesperson,” “manual laborer,” “construction worker,” “computer manufacturing executive,” “military pilot,” “secretary,”

and “police officer.”

5

(b) “Principal,” as that term is used in Elections Code § 13107, subdivision (a)(3), means a substantial involvement of time and effort such that

the activity is one of the primary, main or leading professional, vocational or occupational endeavors of the candidate. The term “principal”

precludes any activity which does not entail a significant involvement on the part of the candidate. Involvement which is only nominal, pro

forma, or titular in character does not meet the requirements of the statute.

(1) If a candidate is licensed by the State of California to engage in a profession, vocation or occupation, the candidate is entitled to consider it

one of his or her “principal” professions, vocations or occupations if (i) the candidate has maintained his or her license current as of the date

he or she filed his or nomination documents by complying with all applicable requirements of the respective licensure, including the payment

of all applicable license fees and (ii) the status of the candidate's license is active at the time he or she filed his or her nomination documents.

(2) A candidate who holds a professional, vocational or occupational license issued by the State of California may not claim such profession,

vocation or occupation as one of his or her “principal” professions, vocations or occupations if (i) the candidate's licensure status is “inactive”

at the time the candidate files his or her nomination document, or (ii) the candidate's license has been suspended or revoked by the agency

issuing the license at the time the candidate files his or her nomination documents.

23.

Is the proposed ballot designation confusing or misleading?

YES ☐

Candidate must re-write

ballot designation.

Return to #5

NO ☐

Continue to #24

REFERENCE - 2 CA ADC§ 20716(c) reads as follows:

….. In making this determination, the Secretary of State shall determine whether there is a substantial likelihood that a reasonably prudent

voter would be misled as to the candidate's principal profession, vocation or occupation by the candidate's proposed ballot designation. The

determination shall take into account the plain meaning of the words constituting the proposed ballot designation and the factual accuracy of

the proposed ballot designation based upon supporting documents or other evidence submitted by the candidate in support of the proposed

ballot designation….

24.

Does the proposed ballot designation contain the words

“Community Volunteer”?

YES ☐

Continue to #25

NO ☐

Continue to #27

25.

Is the candidate a person who engages in an activity or

performs a service for or on behalf of, without profiting

monetarily, one or more of the following?

 A charitable, educational, or religious organization as defined

by the United States Internal Revenue Code section

501(c)(3);

 A governmental agency; or

 An educational institution.

YES ☐

Continue to #26

NO ☐

Candidate may not use

the words “Community

Volunteer” as the

proposed ballot

designation.

Return to #5

26.

Does the candidate’s activity or service constitute substantial

involvement of the candidate’s time and effort such that the

activity or service is the sole, primary, main or leading

professional, vocational, or occupational endeavor of the

candidate?

YES ☐

Continue to #27

NO ☐

Candidate may not use

the words “Community

Volunteer” as the

proposed ballot

designation.

Return to #5

REFERENCE – 2 CA ADC § 20714.5(b) reads as follows:

The activity or service must constitute substantial involvement of the candidate’s time and effort such that the activity or service is the sole,

primary, main or leading professional, vocational, or occupational endeavor of the candidate.

RETIRED

27.

Does the proposed ballot designation contain the word “Retired”?

YES ☐

Continue to #28

NO ☐

Continue to #31

28.

Does the candidate possess another more recent, intervening

principal profession, vocation, or occupation?

YES ☐

Candidate may not use

the word “Retired” as the

proposed ballot

designation.

Return to #5

NO ☐

Continue to #29

29.

Does the proposed ballot designation abbreviate the word

“Retired”?

YES ☐

Candidate must correct

abbreviation, then

Continue to #30

NO ☐

Continue to #30

6

30.

Does the proposed ballot designation place “retired” following any

word or words which it modifies?

YES ☐

“Retired” must be placed

before any word or

words which it modifies,

then Continue to #31

NO ☐

Continue to #31

REFERENCE – 2 CA ADC § 20716(h)(1) reads as follows:

Subject to the provisions of Elections Code § 13107, subdivision (b)(4), use of the word “retired” in a ballot designation is generally limited for

use by individuals who have permanently given up their chosen principal profession, vocation or occupation.

(2) In evaluating a proposed ballot designation including the word “retired,” the Secretary of State will consider the following factors in making

a determination as to the propriety of the use of the term “retired”:

(A) Prior to retiring from his or her principal profession, vocation or occupation, the candidate worked in such profession, vocation or

occupation for more than 5 years;

(B) The candidate is collecting, or eligible to collect, retirement benefits or other type of vested pension;

(C) The candidate has reached at least the age of 55 years;

(D) The candidate voluntarily left his or her last professional, vocational or occupational position; and

(E) The candidate’s retirement benefits are providing him or her with a principal source of income.

(3) If the candidate is requesting a ballot designation that he or she is a retired public official, the candidate must have previously voluntarily

retired from public office, not have been involuntarily removed from office, not have been recalled by voters, and not have surrendered the

office to seek another office or failed to win reelection to the office. If such a candidate did not voluntarily retire from public office, he or she

may not use the word “retired” in this or her ballot designation.

(4) A candidate may not use the word “retired” in his or her ballot designation if that candidate possesses another more recent, intervening

principal profession, vocation, or occupation.

REFERENCE - CA EC § 13107 (e) 3 reads as follows:

(e) Neither the Secretary of State nor any other elections official shall accept a designation of which any of the following would be true:

(3) It abbreviates the word “retired” or places it following any word or words which it modifies.

UNACCEPTABLE BALLOT DESIGNATIONS

31.

Is the proposed ballot designation an avocation, pro forma

profession, vocation or occupation, or a status?

YES ☐

Candidate must re-write

ballot designation.

Return to #5

NO ☐

Continue to #32

REFERENCE – 2 CA ADC § 20716(b) reads as follows:

The following types of activities are distinguished from professions, vocations and occupations and are not acceptable as ballot

designations…

(1)Avocations: An avocation is a casual or occasional activity, diversion or hobby pursued principally for enjoyment and in addition to the

candidate’s principal profession, vocation or occupation. Avocations may include, but are not limited to, hobbies, social activities, volunteer

work (except as set forth in Section 20714.5 of this Chapter), and matters pursued as an amateur.

(2) Pro Forma Professions, Vocations and Occupations: Pro forma professions, vocations or occupations are positions held by the candidate

which consume little or none of the candidate’s time and which, by their nature, are voluntary or for which the candidate is not compensated,

except as set forth in Section 20714.5 of this Chapter. Pro forma professions, vocations and occupations may include, but are not limited to,

such pursuits as honorary peace officer, honorary chairperson, honorary professor, goodwill ambassador, official host or hostess and the like.

(3)Statuses: A status is a state, condition, social position or legal relation of the candidate to another person, persons or the community as a

whole. A status is generic in nature and generally fails to identify with any particular specificity the manner by which the candidate earns his or

her livelihood or spends the substantial majority of his or her time. Examples of a status include, but are not limited to, veteran, proponent,

reformer, scholar, founder, philosopher, philanthropist, activist, patriot, taxpayer, concerned citizen, husband, wife, and the like.

32.

Does the proposed ballot designation include commercial

identification information, such as a trademark, service mark,

trade name, or the specific name of a business, partnership,

corporation, company, foundation, or organization?

YES ☐

Candidate must re-write

ballot designation.

Return #5

NO ☐

Continue #33

33.

Does the proposed ballot designation suggest an evaluation of

the candidate’s qualifications, honesty, integrity, leadership

abilities or character?

YES ☐

Candidate must re-write

ballot designation.

Return to #5

NO ☐

Continue to #34

REFERENCE – 2 CA ADC§ 20716(e) reads as follows:

…Such impermissible adjectives include, but are not limited to, “senior,” “emeritus,” “specialist,” “magnate,” “outstanding,” “leading,” “expert,”

“virtuous,” “eminent,” “best,” “exalted,” “prominent,” “famous,” “respected,” “honored,” “honest,” “dishonest,” “corrupt,” “lazy,” and the like.

7

34.

Does the proposed ballot designation:

 Use a word or prefix such as “former”?

 Use the name of any political party, qualified or

unqualified?

 Use a word or words referring to a racial, religious, or

ethnic group?

 Refer to any activity prohibited by law?

YES ☐

Candidate must re-write

ballot designation.

Return to #5

NO ☐

Continue to #35

REFERENCE - CA EC § 13107(e) 3-7 reads as follows:

(e) Neither the Secretary of State nor any other elections official shall accept a designation of which any of the following would be true:

(3) It abbreviates the word “retired” or places it following any word or words which it modifies.

(4) It uses a word or prefix, such as “former” or “ex-,” which means a prior status. The only exception is the use of the word “retired.”

(5) It uses the name of any political party, whether or not it has qualified for the ballot.

(6) It uses a word or words referring to a racial, religious, or ethnic group.

(7) It refers to any activity prohibited by law.

2 CA ADC § 20716 reads as follows:

Pursuant to Elections Code § 13107, subdivision (e)(5), the Secretary of State shall reject as unacceptable any proposed ballot designation

which uses the name of any political party, whether or not it has qualified for recognized ballot status.

Pursuant to Elections Code § 13107, subdivision (e)(6), the Secretary of State shall reject as unacceptable any proposed ballot designation

which uses a word or words referring to a racial, religious, or ethnic group.

The Secretary of State shall reject as unacceptable any ballot designation which expressly contains or implies any ethnic or racial slurs or

ethnically or racially derogatory language.

If the candidate is a member of the clergy, the candidate may not make reference to his or her specific denomination. However, the candidate

may use his or her clerical title as a ballot designation (e.g., “Rabbi,” “Pastor,” “Minister,” “Priest,” “Bishop,” “Deacon,” “Monk,” “Nun,”

“Imam,” etc.)

35.

Does the proposed ballot designation use a word or prefix to

indicate a prior profession, vocation, occupation or elected,

appointed or judicial office previously held by the candidate?

YES ☐

Candidate must re-write

ballot designation.

Return to #5

NO ☐

Continue to #36

REFERENCE – 2 CA ADC § 20716(g) reads as follows:

Such impermissible words or prefixes include, but are not limited to, “Ex-,” “former,” “past,” and “erstwhile.” Examples of impermissible

designations include “Former Congressman,” “Ex-Senator,” and “Former Educator.”

Supporting Documentation

36.

Has the candidate supplied the following information?

 The title of the current occupation which he or she claims

supports the proposed ballot designation

 the name of the candidate’s business or employer

 The dates during which the candidate held such position

 The name and telephone numbers of persons who could

verify such information

YES ☐

Continue to #37

NO ☐

Candidate should

provide information to

support the use of

proposed ballot

designation

37.

Has the candidate submitted a brief statement identifying the

factual basis upon which the candidate claims the proposed

ballot designation?

YES ☐

Continue to #38

NO ☐

Candidate should

provide information to

support the use of

proposed ballot

designation

38.

Has the candidate submitted proof of chosen ballot designation

status information such as a business card or a notice from the

organization or business on official company letterhead?

YES ☐

Continue to #39

NO ☐

Candidate should

provide information to

support the use of

proposed ballot

designation

39.

Has the candidate signed and dated the Ballot Designation

Worksheet?

YES ☐

File with San Bernardino

County Elections Office

NO ☐

Candidate must sign

and date the Ballot

Designation Worksheet,

then File with the San

Bernardino County

Elections Office

8

Campaign Disclosure Requirements

CAMPAIGN REPORTING

The Act requires that all state and local elected officeholders, candidates for state and

local elected offices, and their controlled committees file campaign disclosure

statements at specified intervals. Failure to file appropriate statements and reports in

compliance with the Act can result in substantial criminal, civil and administrative

penalties. Failure to file within the prescribed deadlines can lead to late filing penalties

of $10 for each day the statement is late. Except for deadlines that fall on a Saturday,

Sunday, or official state holiday, the law does not allow for extensions of filing

deadlines.

Anyone may act as a committee treasurer. A candidate may serve as his or her own

committee treasurer.

Candidates may start soliciting and receiving contributions for campaign expenses as

soon as the candidate has filed a Form 501 and a Form 410, Statement of Organization

(establishes committee). Candidate does not have to wait until the nomination period

opens on July 13, 2020 to file these statements to start soliciting/receiving campaign

contributions.

CAMPAIGN DISCLOSURE MANUAL 2 – INFORMATION FOR LOCAL CANDIDATES

All candidates are required to file some level of campaign disclosure documents and/or

reports. These documents are required by Government Code and provide the public

with details on who contributes money or items to a candidate’s campaign, and how the

candidate spends that money. Disclosure requirements are very complicated. These

instructions provide only basic guidelines on which forms to file and when. How to

complete the various forms, establish a campaign committee, manage a campaign

account, and what the Government Code requires of a candidate is fully detailed in

“Campaign Disclosure Manual 2 – Information for Local Candidates”. This manual is

prepared by the California Fair Political Practices Commission, and is provide by

accessing the FPPC website at: http://www.fppc.ca.gov/content/dam/fppc/NS-

Documents/TAD/Campaign%20Manuals/Manual_2/Final_Manual_2_Entire_Manual.pdf.

Candidates are encouraged to thoroughly read the Campaign Disclosure Manual 2.

FORM 700 –STATEMENT OF ECONOMIC INTERESTS – G.C. 87200 et. seq.

Form 700 is available from the FPPC website: www.fppc.ca.gov

Each candidate shall submit a Statement of Economic Interests, Form 700,

(2019/2020), at the time the candidate’s nomination papers are submitted to the City

Clerk’s Office. The Statement of Economic Interests is a public record. It may be

inspected, and copies of it may be purchased, by anyone.

Candidates are required to report investments, interests in real property, and business

positions held on the date of filing their declaration of candidacy. In addition, income

received during the 12 months prior to the date of filing the declaration of candidacy is

reportable income (including loans, gifts and travel payments). This statement is

entirely separate from campaign disclosure statements. (See attached example of

Statement of Economic Interest Form 700.)

Campaign Disclosure Requirements – Pg. 2

The Technical Assistance Division of the Fair Political Practices Commission (FPPC) is

available to answer questions at 1-866-275-3772 or at http://www.fppc.ca.gov.

Completing and Filing the Statement

Fill out the cover sheet and each schedule in which information is disclosed. The

information in Sections 1, 2 and 3 of the Cover Sheet is static data, and has been filled

in for you. Make sure that you’ve checked the appropriate boxes in Section 4, noted the

number of pages attached (if applicable), and dated and signed in Section 5. Discard

schedules that you did not complete. Only return the Cover Sheet and completed

schedules.

Enclosed is an example of the Cover Sheet from the Statement of Economic Interest

Form.

Once received, the City Clerk will make and retain a copy of the statement and forward

the original to the State Fair Political Practices Commission (FPPC), which is the official

filing officer.

Future Statement Filings

If a non-incumbent is successful, that individual will be required to file an

“assuming” Statement of Economic Interests Form within thirty (30) days of being

sworn into office.

In addition, all office holders file new statements on an “annual” basis. These

statements are due on April 1

st

of each year.

Office holders who are appointed to joint power authorities who have conflict of interest

codes, will also be required to file “assuming” and “annual” statements with those

agency filing officers.

Office holders who leave office must file a “leaving” Statement of Economic Interests

Form within thirty (30) days of leaving office.

Candidate/Treasurer Workshop Video

There is a Candidate Treasurer Workshop Webinar provided on the FPPC Website for

all candidates and their treasurers can download the powerpoint presentation. Please

follow the link if you would like to register http://www.fppc.ca.gov/learn/training-and-

outreach/candidates-treasurers-committees.html.

Getting Started

 Establishing the Bank Account

Candidates who anticipate soliciting or receiving contributions from others, or who

anticipate spending over $2,000 or more of personal funds in connection with the

Campaign Disclosure Requirements – Pg. 3

election must open a campaign bank account. A candidate’s personal funds used to

pay for the candidate’s statement does not count toward the $2,000 threshold.

Campaign contributions may not be commingled with any individual’s personal funds.

All contributions must be deposited in, and expenditures made from, the campaign bank

account. Candidate’s may not re-use (or re-designate) a prior account for a future

election. A new and separate bank account is required for each election. Specific

information relative to establishing Bank Accounts are found in Campaign Disclosure

Manual 2, Chapter 4 and Chapter 9 for restrictions on the use of campaign funds.

Campaign Forms

 Candidate Intention Statement (Form 501)

Form 501 is available from the FPPC website: www.fppc.ca.gov

All candidates must file a Form 501 prior to soliciting or receiving contributions, and

before any campaign expenditure is made from personal funds. The only exception is

when a candidate spends personal funds to pay for a candidate’s statement that is

submitted with the nomination documents. An example of how to complete the form is

on page 4-2 of the “Campaign Disclosure Manual 2 – Information for Local Candidates.”

 Statement of Organization (Form 410)

Form 410 is available from the FPPC website: www.fppc.ca.gov

All candidates that receive $2,000 or more in contributions in a calendar year qualify as

a recipient committee and must file a Form 410. The Form 410 identifies the name of

the committee, the treasurer and officers, and the purpose of the committee.

Candidates may not re-use (or re-designate) a prior committee for a future election. A

new and separate committee is required for each election.

Within 10 days of receiving $2,000 or more, the candidate must file an original and one

copy of the Form 410 with the Secretary of State, Political Reform Division, 1500 11

th

Street, Room 495, Sacramento, CA 95814. The Secretary of State will issue a

committee ID Number. A copy of the Form 410 must be filed with the Office of the City

Clerk. An example of how to complete the form is in the Campaign Disclosure Manual

2 – Information for Local Candidates.

Exceptions: The Statement of Organization (Form 410) is not required if the candidate

will not be receiving contributions from others and will spend less than $2000 in a

calendar year from personal funds to support his or her candidacy. Payment of a

Candidate’s Filing Fee or Candidate’s Statement is not counted toward the $2000

expenditure threshold. Note: If the candidate finds later that he/she will be spending

more than $2000 from personal funds, a campaign bank account must be opened.

Campaign Disclosure Requirements – Pg. 4

 Statement of Termination (Form 410)

Form 410 is available from the FPPC website: www.fppc.ca.gov

When all financial obligations are met, the committee’s account has been spent or

distributed, and a candidate ceases to raise or spend funds, the committee should be

terminated. An original and one copy of the Form 410 must be filed with the Secretary

of State, and a copy of the Form 410 must also be filed with the Office of the City Clerk.

An example of how to complete the form is in the Campaign Disclosure Manual 2 –

Information for Local Candidates.

In addition, a termination Form 460 must also be filed with the Office of the City Clerk to

report the committee’s activity since the close of the filing period of the previously filed

statement.

 Recipient Committee Campaign Statement (Form 460)

Form 460 is available from the FPPC website: www.fppc.ca.gov

Used by a candidate or officeholder who has a controlled committee, or who has raised

or spent or will raise or spend $2,000 or more during a calendar year in connection with

election to office or holding office. Also, use the Form 460 to file a pre-election

statement, semi-annual statement, quarterly statement, special odd-year report,

supplemental pre-election statement. File this form with the City Clerk in accordance

with the deadlines established by the FPPC. See FPPC Campaign Statement

Deadlines listed under Candidate Information in this handbook.

 Candidate Campaign Statement Short Form (Form 470)

Form 470 is available from the FPPC website: www.fppc.ca.gov

If a candidate does not anticipate raising or spending $2,000 or more in a calendar year,

the candidate may file a Form 470. Payments from the candidate’s personal funds used

to pay for the candidate’s statement that is submitted with the nomination documents

does not count toward the $2,000 threshold. This form shall be filed with the

candidate’s nomination documents. An example of how to complete the form is in the

Campaign Disclosure Manual 2 – Information for Local Candidates. Note: Candidates

who file the Form 470 (Short Form) do not need to fill out termination forms.

 Candidate Campaign Statement Form 470 Supplement

Form 470 is available from the FPPC website: www.fppc.ca.gov

If a Form 470 is filed and later in the calendar year $2,000 or more is raised or spent,

the candidate’s filing obligations and deadlines will change. If this occurs, a Form 470-

Supplement must be filed with the City Clerk within 48 hours of reaching this threshold,

and notification must also be sent to all candidates seeking the same office. The notice

must be sent by guaranteed, overnight delivery, personal delivery or fax.

In addition, a Form 410 must be filed, and the candidate must begin filing detailed

campaign statements using the Form 460. Refer to the Campaign Disclosure Manual 2

– Information for Local Candidates for more details.

Campaign Disclosure Requirements – Pg. 5

Surplus Funds

Campaign Funds held by a non-incumbent defeated candidate or a candidate who

withdraws from an election become “surplus” and the end of the semi-annual reporting

period following the election. For candidates involved in the November election the end

of the reporting period would be December 31, 2020.

For an elected officeholder, funds become “surplus” at the end of the semi-annual

reporting period following the date the officeholder leaves office. If an incumbent is not

successful in the 2020 election process, the end of the reporting period would be

December 31, 2020.

After these dates, the use of the funds is restricted. To ensure the proper disposition of

campaign funds individuals who fall into the noted categories must take action before

the end of the applicable reporting period. Refer to the Campaign Disclosure Manual 2

– Information for Local Candidates for more details.

December 2019

2019-2020

Statement of

Economic Interests

Form 700

California Fair Political Practices Commission

1102 Q Street, Suite 3000 • Sacramento, CA 95811

Email Advice: advice@fppc.ca.gov

Toll-free advice line: 1 (866) ASK-FPPC • 1 (866) 275-3772

Telephone: (916) 322-5660 • Website: www.fppc.ca.gov

A Public Document

Table of Contents

Quick Start Guide .................................................... p.2

Who? Where? How? When? .................................... p.3

Types of Statements ................................................. p.4

Cover Page and Schedules

Cover Page ........................................................ p.5

Schedule A-1 (Investments) ............................... p.7

Schedule A-2 (Business Entities/Trusts) ............ p.9

Schedule B (Real Property) ...............................p.11

Schedule C (Income) .........................................p.13

Schedule D (Gifts) ..............................................p.15

Schedule E (Travel Payments) ...........................p.17

Restrictions and Prohibitions ....................................p.19

Q & A ........................................................................p.20

Helpful Resources

• Video Tutorials

• Reference Pamphlet

• Excel Version

• FAQs

• Gift and Travel Fact

Sheet for State and

Local Ocials

Quick Start Guide

Detailed instructions begin on page 3.

WHEN IS THE ANNUAL STATEMENT DUE?

• March 2 – Elected State Ocers, Judges and Court Commissioners, State Board and Commission

members listed in Government Code Section 87200

• April 1 – Most other lers

WHERE DO I FILE?

Most people le the Form 700 with their agency. If you’re not sure where to le your Form 700, contact your

ling ocer or the person who asked you to complete it.

ITEMS TO NOTE!

• The Form 700 is a public document.

• Only lers serving in active military duty may receive an extension on the ling deadline.

• You must also report interests held by your spouse or registered domestic partner.

• Your agency’s conict of interest code will help you to complete the Form 700. You are encouraged to get

your conict of interest code from the person who asked you to complete the Form 700.

NOTHING TO REPORT?

Mark the “No reportable interests” box on Part 4 of the Cover Page, and submit only the signed Cover Page.

Please review each schedule carefully!

Schedule

Common

Reportable Interests

Common

Non-Reportable Interests

A-1:

Investments

Stocks, including those held in an IRA

or 401K. Each stock must be listed.

Insurance policies, government bonds, diversied

mutual funds, funds similar to diversied mutual

funds.

A-2:

Business

Entitites/Trusts

Business entities, sole proprietorships,

partnerships, LLCs, corporations and

trusts. (e.g., Form 1099 lers).

Savings and checking accounts, and annuities.

B:

Real Property

Rental property in ler’s jurisdiction, or

within two miles of the boundaries of

the jurisdiction.

A residence used exclusively as a personal

residence (such as a home or vacation property).

C:

Income

Non-governmental salaries. Note that

lers are required to report only half of

their spouse’s or partner’s salary.

Governmental salary (from school district, for

example).

D:

Gifts

Gifts from businesses, vendors, or

other contractors (meals, tickets, etc.).

Gifts from family members.

E:

Travel

Payments

Travel payments from third parties (not

your employer).

Travel paid by your government agency.

Note: Like reportable interests, non-reportable interests may also create conicts of

interest and could be grounds for disqualication from certain decisions.

QUESTIONS?

• advice@fppc.ca.gov

• (866) 275-3772 Mon-Thurs, 9-11:30 a.m.

E-FILING ISSUES?

• If using your agency’s system, please contact technical support at your agency.

• If using FPPC’s e-ling system, write to form700@fppc.ca.gov.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www. .ca.gov

Page - 2

What’s New

Gift Limit Increase

The gift limit increased to $500 for calendar years 2019

and 2020.

Who must le:

• Elected and appointed ocials and candidates listed in

Government Code Section 87200

• Employees, appointed ocials, and consultants ling

pursuant to a conict of interest code (“code lers”).

Obtain your disclosure categories, which describe

the interests you must report, from your agency;

they are not part of the Form 700

• Candidates running for local elective oces that are

designated in a conict of interest code (e.g., county

sheris, city clerks, school board trustees, and water

board members)

Exception:

• Candidates for a county central committee are not

required to le the Form 700.

• Members of newly created boards and

commissions not yet covered under a conict of

interest code

• Employees in newly created positions of existing

agencies

For more information, see Reference Pamphlet, page 3, at

www.fppc.ca.gov.

Where to le:

87200 Filers

State oces  Your agency

Judicial oces  The clerk of your court

Retired Judges  Directly with FPPC

County oces  Your county ling ocial

City oces  Your city clerk

Multi-County oces  Your agency

Code Filers — State and Local Ocials, Employees,

and Consultants Designated in a Conict of Interest

Code: File with your agency, board, or commission unless

otherwise specied in your agency’s code (e.g., Legislative

sta les directly with FPPC). In most cases, the agency,

board, or commission will retain the statements.

Members of Boards and Commissions of Newly

Created Agencies: File with your newly created agency

or with your agency’s code reviewing body.

Employees in Newly Created Positions of Existing

Agencies: File with your agency or with your agency’s

code reviewing body. (See Reference Pamphlet, page 3.)

Candidates: File with your local elections oce.

How to le:

The Form 700 is available at www.fppc.ca.gov. Form

700 schedules are also available in Excel format. All

statements must have an original “wet” signature or be

duly authorized by your ling ocer to le electronically

under Government Code Section 87500.2.

When to le:

Annual Statements

 March 2, 2020

- Elected State Ocers

- Judges and Court Commissioners

- State Board and State Commission Members listed

in Government Code Section 87200

 April 1, 2020

- Most other lers

Individuals ling under conict of interest codes in city and

county jurisdictions should verify the annual ling date with

their local ling ocers.

Statements postmarked by the ling deadline are

considered led on time.

Statements of 30 pages or less may be emailed or faxed by

the deadline as long as the originally signed paper version is

sent by rst class mail to the ling ocial within 24 hours.

Assuming Oce and Leaving Oce Statements

Most lers le within 30 days of assuming or leaving oce

or within 30 days of the eective date of a newly adopted

or amended conict of interest code.

Exception:

If you assumed oce between October 1, 2019, and

December 31, 2019, and led an assuming oce

statement, you are not required to le an annual

statement until March 2, 2, 2021, or April 1, 2021,

whichever is applicable. The annual statement will cover

the day after you assumed oce through December 31,

2020. (See Reference Pamphlet, page 6, for additional

exceptions.

Candidate Statements

File no later than the nal ling date for the declaration

of candidacy or nomination documents. A candidate

statement is not required if you led an assuming oce or

annual statement for the same jurisdiction within 60 days

before ling a declaration of candidacy or other nomination

documents.

Late Statements

There is no provision for ling deadline extensions unless

the ler is serving in active military duty. (See page 19 for

information on penalties and nes.)

Amendments

Statements may be amended at any time. You are only

required to amend the schedule that needs to be revised.

It is not necessary to amend the entire led form. Obtain

amendment schedules at www.fppc.ca.gov.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 3

Types of Statements

Assuming Oce Statement:

If you are a newly appointed ocial or are newly employed

in a position designated, or that will be designated, in

a state or local agency’s conict of interest code, your

assuming oce date is the date you were sworn in or

otherwise authorized to serve in the position. If you are a

newly elected ocial, your assuming oce date is the date

you were sworn in.

• Report: Investments, interests in real property, and

business positions held on the date you assumed the

oce or position must be reported. In addition, income

(including loans, gifts, and travel payments) received

during the 12 months prior to the date you assumed the

oce or position.

For positions subject to conrmation by the State Senate

or the Commission on Judicial Appointments, your

assuming oce date is the date you were appointed or

nominated to the position.

• Example: Maria Lopez was nominated by the Governor

to serve on a state agency board that is subject to state

Senate conrmation. The assuming oce date is the

date Maria’s nomination is submitted to the Senate.

Maria must report investments, interests in real

property, and business positions she holds on that date,

and income (including loans, gifts, and travel payments)

received during the 12 months prior to that date.

If your oce or position has been added to a newly

adopted or newly amended conict of interest code, use

the eective date of the code or amendment, whichever is

applicable.

• Report: Investments, interests in real property, and

business positions held on the eective date of the

code or amendment must be reported. In addition,

income (including loans, gifts, and travel payments)

received during the 12 months prior to the eective date

of the code or amendment.

Annual Statement:

Generally, the period covered is January 1, 2019,

through December 31, 2019. If the period covered by

the statement is dierent than January 1, 2019, through

December 31, 2019, (for example, you assumed oce

between October 1, 2018, and December 31, 2018 or you

are combining statements), you must specify the period

covered.

• Investments, interests in real property, business

positions held, and income (including loans, gifts, and

travel payments) received during the period covered

by the statement must be reported. Do not change the

preprinted dates on Schedules A-1, A-2, and B unless

you are required to report the acquisition or disposition

of an interest that did not occur in 2019.

• If your disclosure category changes during a reporting

period, disclose under the old category until the

eective date of the conict of interest code amendment

and disclose under the new disclosure category through

the end of the reporting period.

Leaving Oce Statement:

Generally, the period covered is January 1, 2019,

through the date you stopped performing the duties of

your position. If the period covered diers from January

1, 2019, through the date you stopped performing the

duties of your position (for example, you assumed oce

between October 1, 2018, and December 31, 2018, or

you are combining statements), the period covered must

be specied. The reporting period can cover parts of two

calendar years.

• Report: Investments, interests in real property, business

positions held, and income (including loans, gifts, and

travel payments) received during the period covered by

the statement. Do not change the preprinted dates on

Schedules A-1, A-2, and B unless you are required to

report the acquisition or disposition of an interest that

did not occur in 2019.

Candidate Statement:

If you are ling a statement in connection with your

candidacy for state or local oce, investments, interests

in real property, and business positions held on the date

of ling your declaration of candidacy must be reported.

In addition, income (including loans, gifts, and travel

payments) received during the 12 months prior to the date

of ling your declaration of candidacy is reportable. Do not

change the preprinted dates on Schedules A-1, A-2, and B.

Candidates running for local elective oces (e.g., county

sheris, city clerks, school board trustees, or water

district board members) must le candidate statements,

as required by the conict of interest code for the elected

position. The code may be obtained from the agency of

the elected position.

Amendments:

If you discover errors or omissions on any statement, le

an amendment as soon as possible. You are only required

to amend the schedule that needs to be revised; it is not

necessary to rele the entire form. Obtain amendment

schedules from the FPPC website at www.fppc.ca.gov.

Note: Once you le your statement, you may not withdraw

it. All changes must be noted on amendment schedules.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 4

Schedule C - Income, Loans, & Business Positions – schedule attached

Schedule D - Income – Gifts – schedule attached

Schedule E - Income – Gifts – Travel Payments – schedule attached

Leaving Ofce: Date Left / /

(Check one circle.)

The period covered is January 1, 2019, through the date of

leaving ofce.

The period covered is / / , through

the date of leaving ofce.

Annual: The period covered is January 1, 2019, through

December 31, 2019.

The period covered is / / , through

December 31, 2019.

STATEMENT OF ECONOMIC INTERESTS

COVER PAGE

A PUBLIC DOCUMENT

I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained

herein and in any attached schedules is true and complete. I acknowledge this is a public document.

I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date Signed

(month, day, year)

3. Type of Statement (Check at least one box)

State

Judge, Retired Judge, Pro Tem Judge, or Court Commissioner

(Statewide Jurisdiction) (Statewide Jurisdiction)

Multi-County

County of

City of

Other

2. Jurisdiction of Ofce (Check at least one box)

Candidate: Date of Election and ofce sought, if different than Part 1:

Assuming Ofce: Date assumed / /

Date Initial Filing Received

Filing Ocial Use Only

Please type or print in ink.

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

Agency Name (Do not use acronyms)

Division, Board, Department, District, if applicable Your Position

1. Ofce, Agency, or Court

NAME OF FILER (LAST) (FIRST) (MIDDLE)

MAILING ADDRESS STREET CITY STATE ZIP CODE

( )

DAYTIME TELEPHONE NUMBER

EMAIL ADDRESS

(Business or Agency Address Recommended - Public Document)

Signature

(File the originally signed paper statement with your ling ofcial.)

5. Verication

► If ling for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position:

-or-

None - No reportable interests on any schedule

4. Schedule Summary (must complete)

Schedules attached

Schedule A-1 - Investments – schedule attached

Schedule A-2 - Investments – schedule attached

Schedule B - Real Property – schedule attached

► Total number of pages including this cover page:

-or-

FPPC Form 700 - Cover Page (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 5

• If your agency is a multi-county oce, list each county in

which your agency has jurisdiction.

• If your agency is not a state oce, court, county oce, city

oce, or multi-county oce (e.g., school districts, special

districts and JPAs), check the “other” box and enter the

county or city in which the agency has jurisdiction.

Example:

This ler is a member of a water district board with jurisdiction

in portions of Yuba and Sutter Counties.

Part 3. Type of Statement

Check at least one box. The period covered by a statement

is determined by the type of statement you are ling. If you

are completing a 2019 annual statement, do not change the

pre-printed dates to reect 2020. Your annual statement is

used for reporting the previous year’s economic interests.

Economic interests for your annual ling covering January 1,

2020, through December 31, 2020, will be disclosed on your

statement led in 2021. See Reference Pamphlet, page 4.

Combining Statements: Certain types of statements may be

combined. For example, if you leave oce after January 1,

but before the deadline for ling your annual statement, you

may combine your annual and leaving oce statements. File

by the earliest deadline. Consult your ling ocer or the

FPPC.

Part 4. Schedule Summary

• Complete the Schedule Summary after you have reviewed

each schedule to determine if you have reportable

interests.

• Enter the total number of completed pages including the

cover page and either check the box for each schedule you

use to disclose interests; or if you have nothing to disclose

on any schedule, check the “No reportable interests” box.

Please do not attach any blank schedules.

Part 5. Verication

Complete the verication by signing the statement and

entering the date signed. All statements must have an original

“wet” signature or be duly authorized by your ling ocer to

le electronically under Government Code Section 87500.2.

When you sign your statement, you are stating, under

penalty of perjury, that it is true and correct. Only the ler

has authority to sign the statement. An unsigned statement

is not considered led and you may be subject to late ling

penalties.

Instructions

Cover Page

Enter your name, mailing address, and daytime telephone

number in the spaces provided. Because the Form 700 is

a public document, you may list your business/oce

address instead of your home address.

Part 1. Oce, Agency, or Court

• Enter the name of the oce sought or held, or the agency

or court. Consultants must enter the public agency name

rather than their private rm’s name. (Examples: State

Assembly; Board of Supervisors; Oce of the Mayor;

Department of Finance; Hope County Superior Court)

• Indicate the name of your division, board, or district, if

applicable. (Examples: Division of Waste Management;

Board of Accountancy; District 45). Do not use acronyms.

• Enter your position title. (Examples: Director; Chief

Counsel; City Council Member; Sta Services Analyst)

• If you hold multiple positions (i.e., a city council member

who also is a member of a county board or commission),

you may be required to le statements with each agency.

To simplify your ling obligations, you may complete an

expanded statement.

• To do this, enter the name of the other agency(ies)

with which you are required to le and your position

title(s) in the space provided. Do not use acronyms.

Attach an additional sheet if necessary. Complete

one statement covering the disclosure requirements

for all positions. Each copy must contain an original

signature. Therefore, before signing the statement,

make a copy for each agency. Sign each copy with an

original signature and le with each agency.

If you assume or leave a position after a ling deadline,

you must complete a separate statement. For example, a

city council member who assumes a position with a county

special district after the April annual ling deadline must le

a separate assuming oce statement. In subsequent years,

the city council member may expand his or her annual ling to

include both positions.

Example:

Brian Bourne is a city council member for the City of Lincoln

and a board member for the Camp Far West Irrigation

District – a multi-county agency that covers Placer and

Yuba counties. Brian will complete one Form 700 using full

disclosure (as required for the city position) and covering

interests in both Placer and Yuba counties (as required for

the multi-county position) and list both positions on the Cover

Page. Before signing the statement, Brian will make a copy

and sign both statements. One statement will be led with

City of Lincoln and the other will be led with Camp Far West

Irrigation District. Both will contain an original signature.

Part 2. Jurisdiction of Oce

• Check the box indicating the jurisdiction of your agency

and, if applicable, identify the jurisdiction. Judges, judicial

candidates, and court commissioners have statewide

jurisdiction. All other lers should review the Reference

Pamphlet, page 13, to determine their jurisdiction.

State

Judge or Court Commissioner (Statewide Jurisdiction)

Multi-County

County of

City of

Other

2. Jurisdiction of Ofce (Check at least one box)

Agency Name (Do not use acronyms)

Division, Board, Department, District, if applicable Your Position

1. Ofce, Agency, or Court

► If ling for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position:

Yuba & Sutter Counties

Board MemberN/A

N/A

Feather River Irrigation District

FPPC Form 700 - Cover Page (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 6

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

19 19

19

1919

Name

► NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

► NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

► NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

► NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

► NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

► NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

Comments:

SCHEDULE A-1

Investments

Stocks, Bonds, and Other Interests

(Ownership Interest is Less Than 10%)

Investments must be itemized.

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

FAIR MARKET VALUE

$2,000 - $10,000 $10,001 - $100,000

$100,001 - $1,000,000 Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000 $10,001 - $100,000

$100,001 - $1,000,000 Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000 $10,001 - $100,000

$100,001 - $1,000,000 Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000 $10,001 - $100,000

$100,001 - $1,000,000 Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000 $10,001 - $100,000

$100,001 - $1,000,000 Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000 $10,001 - $100,000

$100,001 - $1,000,000 Over $1,000,000

19

NATURE OF INVESTMENT

Stock Other

(Describe)

Partnership

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

NATURE OF INVESTMENT

Stock Other

(Describe)

Partnership

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

NATURE OF INVESTMENT

Stock Other

(Describe)

Partnership

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

NATURE OF INVESTMENT

Stock Other

(Describe)

Partnership

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

NATURE OF INVESTMENT

Stock Other

(Describe)

Partnership

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

NATURE OF INVESTMENT

Stock Other

(Describe)

Partnership

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

19

FPPC Form 700 - Schedule A-1 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 7

Instructions – Schedules A-1 and A-2

Investments

“Investment” means a nancial interest in any business

entity (including a consulting business or other independent

contracting business) that is located in, doing business in,

planning to do business in, or that has done business during

the previous two years in your agency’s jurisdiction in which

you, your spouse or registered domestic partner, or your

dependent children had a direct, indirect, or benecial interest

totaling $2,000 or more at any time during the reporting

period. (See Reference Pamphlet, page 13.)

Reportable investments include:

• Stocks, bonds, warrants, and options, including those held

in margin or brokerage accounts and managed investment

funds (See Reference Pamphlet, page 13.)

• Sole proprietorships

• Your own business or your spouse’s or registered

domestic partner’s business (See Reference Pamphlet,

page 8, for the denition of “business entity.”)

• Your spouse’s or registered domestic partner’s

investments even if they are legally separate property

• Partnerships (e.g., a law rm or family farm)

• Investments in reportable business entities held in a

retirement account (See Reference Pamphlet, page 15.)

• If you, your spouse or registered domestic partner,

and dependent children together had a 10% or greater

ownership interest in a business entity or trust (including

a living trust), you must disclose investments held by the

business entity or trust. (See Reference Pamphlet, page

16, for more information on disclosing trusts.)

• Business trusts

You are not required to disclose:

• Government bonds, diversied mutual funds, certain

funds similar to diversied mutual funds (such as

exchange traded funds) and investments held in certain

retirement accounts. (See Reference Pamphlet, page 13.)

(Regulation 18237)

• Bank accounts, savings accounts, money market accounts

and certicates of deposits

• Insurance policies

• Annuities

• Commodities

• Shares in a credit union

• Government bonds (including municipal bonds)

• Retirement accounts invested in non-reportable interests

(e.g., insurance policies, mutual funds, or government

bonds) (See Reference Pamphlet, page 15.)

• Government dened-benet pension plans (such as

CalPERS and CalSTRS plans)

• Certain interests held in a blind trust (See Reference

Pamphlet, page 16.)

Use Schedule A-1 to report ownership of less than 10%

(e.g., stock). Schedule C (Income) may also be required if

the investment is not a stock or corporate bond. (See second

example below.)

Use Schedule A-2 to report ownership of 10% or greater

(e.g., a sole proprietorship).

To Complete Schedule A-1:

Do not attach brokerage or nancial statements.

• Disclose the name of the business entity.

• Provide a general description of the business activity of

the entity (e.g., pharmaceuticals, computers, automobile

manufacturing, or communications).

• Check the box indicating the highest fair market value of

your investment during the reporting period. If you are

ling a candidate or an assuming oce statement, indicate

the fair market value on the ling date or the date you took

oce, respectively. (See page 20 for more information.)

• Identify the nature of your investment (e.g., stocks,

warrants, options, or bonds).

• An acquired or disposed of date is only required if you

initially acquired or entirely disposed of the investment

interest during the reporting period. The date of a stock

dividend reinvestment or partial disposal is not required.

Generally, these dates will not apply if you are ling a

candidate or an assuming oce statement.

Examples:

Frank Byrd holds a state agency position. His conict of

interest code requires full disclosure of investments. Frank

must disclose his stock holdings of $2,000 or more in any

company that is located in or does business in California,

as well as those stocks held by his spouse or registered

domestic partner and dependent children.

Alice Lance is a city council member. She has a 4% interest,

worth $5,000, in a limited partnership located in the city. Alice

must disclose the partnership on Schedule A-1 and income of

$500 or more received from the partnership on Schedule C.

Reminders

• Do you know your agency’s jurisdiction?

• Did you hold investments at any time during the period

covered by this statement?

• Code lers – your disclosure categories may only

require disclosure of specic investments.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 8

NATURE OF INTEREST

Property Ownership/Deed of Trust Stock Partnership

Leasehold Other

Check box if additional schedules reporting investments or real property

are attached

Yrs. remaining

Other

NATURE OF INVESTMENT

Partnership Sole Proprietorship

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

19 19

SCHEDULE A-2

Investments, Income, and Assets

of Business Entities/Trusts

(Ownership Interest is 10% or Greater)

Comments:

Name

Address (Business Address Acceptable)

Name

Address (Business Address Acceptable)

FAIR MARKET VALUE

$0 - $1,999

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

FAIR MARKET VALUE

$0 - $1,999

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

GENERAL DESCRIPTION OF THIS BUSINESS

INVESTMENT REAL PROPERTY

Name of Business Entity, if Investment, or

Assessor’s Parcel Number or Street Address of Real Property

Description of Business Activity or

City or Other Precise Location of Real Property

INVESTMENT REAL PROPERTY

Name of Business Entity, if Investment, or

Assessor’s Parcel Number or Street Address of Real Property

Description of Business Activity or

City or Other Precise Location of Real Property

►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR

LEASED BY THE BUSINESS ENTITY OR TRUST

►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR

LEASED BY THE BUSINESS ENTITY OR TRUST

Check one

Trust, go to 2 Business Entity, complete the box, then go to 2

Check one

Trust, go to 2 Business Entity, complete the box, then go to 2

►2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

►2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

Name

700

Check one box: Check one box:

YOUR BUSINESS POSITION

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

$0 - $499

$500 - $1,000

$1,001 - $10,000

$0 - $499

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OVER $100,000

$10,001 - $100,000

OVER $100,000

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

►1. BUSINESS ENTITY OR TRUST

NATURE OF INTEREST

Property Ownership/Deed of Trust Stock Partnership

Leasehold Other

Check box if additional schedules reporting investments or real property

are attached

Yrs. remaining

19 19

Other

NATURE OF INVESTMENT

Partnership Sole Proprietorship

or

►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)

►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)

FPPC Form 700 - Schedule A-2 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 9

None

Names listed below

None

or

Names listed below

Instructions – Schedule A-2

Investments, Income, and Assets of Business Entities/Trusts

Use Schedule A-2 to report investments in a business

entity (including a consulting business or other independent

contracting business) or trust (including a living trust) in

which you, your spouse or registered domestic partner,

and your dependent children, together or separately, had a

10% or greater interest, totaling $2,000 or more, during the

reporting period and which is located in, doing business in,

planning to do business in, or which has done business during

the previous two years in your agency’s jurisdiction. (See

Reference Pamphlet, page 13.) A trust located outside your

agency’s jurisdiction is reportable if it holds assets that are

located in or doing business in the jurisdiction. Do not report

a trust that contains non-reportable interests. For example,

a trust containing only your personal residence not used in

whole or in part as a business, your savings account, and

some municipal bonds, is not reportable.

Also report on Schedule A-2 investments and real property

held by that entity or trust if your pro rata share of the

investment or real property interest was $2,000 or more

during the reporting period.

To Complete Schedule A-2:

Part 1. Disclose the name and address of the business entity

or trust. If you are reporting an interest in a business entity,

check “Business Entity” and complete the box as follows:

• Provide a general description of the business activity of the

entity.

• Check the box indicating the highest fair market value of

your investment during the reporting period.

• If you initially acquired or entirely disposed of this interest

during the reporting period, enter the date acquired or

disposed.

• Identify the nature of your investment.

• Disclose the job title or business position you held with the

entity, if any (i.e., if you were a director, ocer, partner,

trustee, employee, or held any position of management). A

business position held by your spouse is not reportable.

Part 2. Check the box indicating your pro rata share of the

gross income received by the business entity or trust. This

amount includes your pro rata share of the gross income

from the business entity or trust, as well as your community

property interest in your spouse’s or registered domestic

partner’s share. Gross income is the total amount of income

before deducting expenses, losses, or taxes.

Part 3. Disclose the name of each source of income that is

located in, doing business in, planning to do business in, or

that has done business during the previous two years in your

agency’s jurisdiction, as follows:

• Disclose each source of income and outstanding loan

to the business entity or trust identied in Part 1 if

your pro rata share of the gross income (including your

community property interest in your spouse’s or registered

domestic partner’s share) to the business entity or trust

from that source was $10,000 or more during the reporting

period. (See Reference Pamphlet, page 11, for examples.)

Income from governmental sources may be reportable

if not considered salary. See Regulation 18232. Loans

from commercial lending institutions made in the lender’s

regular course of business on terms available to members

of the public without regard to your ocial status are not

reportable.

• Disclose each individual or entity that was a source

of commission income of $10,000 or more during the

reporting period through the business entity identied in

Part 1. (See Reference Pamphlet, page 8.)

You may be required to disclose sources of income located

outside your jurisdiction. For example, you may have a client

who resides outside your jurisdiction who does business on a

regular basis with you. Such a client, if a reportable source of

$10,000 or more, must be disclosed.

Mark “None” if you do not have any reportable $10,000

sources of income to disclose. Phrases such as “various

clients” or “not disclosing sources pursuant to attorney-client

privilege” are not adequate disclosure. (See Reference

Pamphlet, page 14, for information on procedures to request

an exemption from disclosing privileged information.)

Part 4. Report any investments or interests in real property

held or leased by the entity or trust identied in Part 1 if your

pro rata share of the interest held was $2,000 or more during

the reporting period. Attach additional schedules or use

FPPC’s Form 700 Excel spreadsheet if needed.

• Check the applicable box identifying the interest held as

real property or an investment.

• If investment, provide the name and description of the

business entity.

• If real property, report the precise location (e.g., an

assessor’s parcel number or address).

• Check the box indicating the highest fair market value

of your interest in the real property or investment during

the reporting period. (Report the fair market value of the

portion of your residence claimed as a tax deduction if you

are utilizing your residence for business purposes.)

• Identify the nature of your interest.

• Enter the date acquired or disposed only if you initially

acquired or entirely disposed of your interest in the

property or investment during the reporting period.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 10

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ / / /

ACQUIRED DISPOSED

19 1919 19

SCHEDULE B

Interests in Real Property

(Including Rental Income)

► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS

CITY CITY

INTEREST RATE TERM (Months/Years)

% None

SOURCES OF RENTAL INCOME: If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

SOURCES OF RENTAL INCOME: If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

NATURE OF INTEREST

Ownership/Deed of Trust Easement

Leasehold

Yrs. remaining

Other

NATURE OF INTEREST

Ownership/Deed of Trust Easement

Leasehold

Yrs. remaining

Other

Comments:

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

OVER $100,000

$500 - $1,000 $0 - $499 $1,001 - $10,000

$10,001 - $100,000

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

OVER $100,000

$500 - $1,000 $0 - $499 $1,001 - $10,000

$10,001 - $100,000

HIGHEST BALANCE DURING REPORTING PERIOD

Guarantor, if applicable

OVER $100,000

$500 - $1,000 $1,001 - $10,000

$10,001 - $100,000

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years)

% None

Guarantor, if applicable

HIGHEST BALANCE DURING REPORTING PERIOD

OVER $100,000

$500 - $1,000 $1,001 - $10,000

$10,001 - $100,000

* You are not required to report loans from a commercial lending institution made in the lender’s regular course of

business on terms available to members of the public without regard to your ocial status. Personal loans and

loans received not in a lender’s regular course of business must be disclosed as follows:

None

FPPC Form 700 - Schedule B (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 11

Name

disclose the number of years remaining on the lease.

• If you received rental income, check the box indicating the

gross amount you received.

• If you had a 10% or greater interest in real property and

received rental income, list the name of the source(s) if

your pro rata share of the gross income from any single

tenant was $10,000 or more during the reporting period. If

you received a total of $10,000 or more from two or more

tenants acting in concert (in most cases, this will apply

to married couples), disclose the name of each tenant.

Otherwise, mark “None.”

• Loans from a private lender that total $500 or more and

are secured by real property may be reportable. Loans

from commercial lending institutions made in the

lender’s regular course of business on terms available

to members of the public without regard to your ocial

status are not reportable.

When reporting a loan:

- Provide the name and address of the lender.

- Describe the lender’s business activity.

- Disclose the interest rate and term of the loan. For

variable interest rate loans, disclose the conditions

of the loan (e.g., Prime + 2) or the average interest

rate paid during the reporting period. The term of

a loan is the total number of months or years given

for repayment of the loan at the time the loan was

established.

- Check the box indicating the highest balance of the

loan during the reporting period.

- Identify a guarantor, if

applicable.

If you have more than one

reportable loan on a single

piece of real property, report

the additional loan(s) on

Schedule C.

Example:

Allison Gande is a city

planning commissioner.

During the reporting period,

she received rental income of

$12,000, from a single tenant

who rented property she

owned in the city’s jurisdiction.

If Allison received $6,000

each from two tenants, the

tenants’ names would not be

required because no single

tenant paid her $10,000 or

more. A married couple is

considered a single tenant.

Instructions – Schedule B

Interests in Real Property

Reminders

• Income and loans already reported on Schedule B are

not also required to be reported on Schedule C.

• Real property already reported on Schedule A-2, Part 4

is not also required to be reported on Schedule B.

• Code lers – do your disclosure categories require

disclosure of real property?

Report interests in real property located in your agency’s

jurisdiction in which you, your spouse or registered domestic

partner, or your dependent children had a direct, indirect, or

benecial interest totaling $2,000 or more any time during

the reporting period. Real property is also considered to be

“within the jurisdiction” of a local government agency if the

property or any part of it is located within two miles outside

the boundaries of the jurisdiction or within two miles of any

land owned or used by the local government agency. (See

Reference Pamphlet, page 13.)

Interests in real property include:

• An ownership interest (including a benecial ownership

interest)

• A deed of trust, easement, or option to acquire property

• A leasehold interest (See Reference Pamphlet, page 14.)

• A mining lease

• An interest in real property held in a retirement account

(See Reference Pamphlet, page 15.)

• An interest in real property held by a business entity or

trust in which you, your spouse or registered domestic

partner, and your dependent children together had a 10%

or greater ownership interest (Report on Schedule A-2.)

• Your spouse’s or registered domestic partner’s interests in

real property that are legally held separately by him or her

You are not required to report:

• A residence, such as a home or vacation cabin, used

exclusively as a personal residence (However, a residence

in which you rent out a room or for which you claim a

business deduction may be reportable. If reportable,

report the fair market value of the portion claimed as a tax

deduction.)

• Some interests in real property held through a blind trust

(See Reference Pamphlet, page 16.)

• Please note: A non-reportable property can still

be grounds for a conict of interest and may be

disqualifying.

To Complete Schedule B:

• Report the precise location (e.g., an assessor’s parcel

number or address) of the real property.

• Check the box indicating the fair market value of your

interest in the property (regardless of what you owe on the

property).

• Enter the date acquired or disposed only if you initially

acquired or entirely disposed of your interest in the

property during the reporting period.

• Identify the nature of your interest. If it is a leasehold,

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 12

NAME OF LENDER

*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

IF APPLICABLE, LIST DATE:

/ /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ /

ACQUIRED DISPOSED

18 1818 18

SCHEDULE B

Interests in Real Property

(Including Rental Income)

Name

► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS

CITY CITY

INTEREST RATE TERM (Months/Years)

%

None

SOURCES OF RENTAL INCOME:

If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

SOURCES OF RENTAL INCOME:

If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

NATURE OF INTEREST

Ownership/Deed of Trust

Easement

Leasehold

Yrs. remaining

Other

NATURE OF INTEREST

Ownership/Deed of Trust

Easement

Leasehold

Yrs. remaining

Other

Comments:

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

OVER $100,000

$500 - $1,000

$0 - $499

$1,001 - $10,000

$10,001 - $100,000

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

OVER $100,000

$500 - $1,000

$0 - $499

$1,001 - $10,000

$10,001 - $100,000

HIGHEST BALANCE DURING REPORTING PERIOD

Guarantor, if applicable

OVER $100,000

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

FPPC Form 700 (2017/2018) Sch. B

FPPC Advice Email: advice@fppc.ca.gov

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

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

NAME OF LENDER

*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years)

%

None

Guarantor, if applicable

HIGHEST BALANCE DURING REPORTING PERIOD

OVER $100,000

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

*

You are not required to report loans from commercial lending institutions made in the lender’s regular course of

business on terms available to members of the public without regard to your ofcial status. Personal loans and

loans received not in a lender’s regular course of business must be disclosed as follows:

None

4600 24th Street

Sacramento

Henry Wells

Sophia Petroillo

2121 Blue Sky Parkway, Sacramento

Restaurant Owner

8

15 Years

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

IF APPLICABLE, LIST DATE:

/ /

ACQUIRED DISPOSED

IF APPLICABLE, LIST DATE:

/ /

ACQUIRED DISPOSED

18 1818 18

SCHEDULE B

Interests in Real Property

(Including Rental Income)

Name

► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS

CITY CITY

INTEREST RATE TERM (Months/Years)

% None

SOURCES OF RENTAL INCOME:

If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

SOURCES OF RENTAL INCOME:

If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

NATURE OF INTEREST

Ownership/Deed of Trust Easement

Leasehold

Yrs. remaining

Other

NATURE OF INTEREST

Ownership/Deed of Trust Easement

Leasehold

Yrs. remaining

Other

Comments:

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

FAIR MARKET VALUE

$2,000 - $10,000

$10,001 - $100,000

$100,001 - $1,000,000

Over $1,000,000

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

OVER $100,000

$500 - $1,000 $0 - $499 $1,001 - $10,000

$10,001 - $100,000

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

OVER $100,000

$500 - $1,000 $0 - $499 $1,001 - $10,000

$10,001 - $100,000

HIGHEST BALANCE DURING REPORTING PERIOD

Guarantor, if applicable

OVER $100,000

$500 - $1,000 $1,001 - $10,000

$10,001 - $100,000

FPPC Form 700 (2017/2018) Sch. B

FPPC Advice Email: advice@fppc.ca.gov

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

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years)

% None

Guarantor, if applicable

HIGHEST BALANCE DURING REPORTING PERIOD

OVER $100,000

$500 - $1,000 $1,001 - $10,000

$10,001 - $100,000

*

You are not required to report loans from commercial lending institutions made in the lender’s regular course of

business on terms available to members of the public without regard to your ofcial status. Personal loans and

loans received not in a lender’s regular course of business must be disclosed as follows:

None

4600 24th Street

Sacramento

Henry Wells

Sophia Petroillo

2121 Blue Sky Parkway, Sacramento

Restaurant Owner

8

15 Years

(Real property, car, boat, etc.) (Real property, car, boat, etc.)

SCHEDULE C

Income, Loans, & Business

Positions

(Other than Gifts and Travel Payments)

GROSS INCOME RECEIVED

No Income - Business Position Only

GROSS INCOME RECEIVED

Name

OVER $100,000 OVER $100,000

$500 - $1,000 $500 - $1,000

$1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

► 1. INCOME RECEIVED

NAME OF SOURCE OF INCOME

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

YOUR BUSINESS POSITION

► 1. INCOME RECEIVED

NAME OF SOURCE OF INCOME

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

YOUR BUSINESS POSITION

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years)

% None

HIGHEST BALANCE DURING REPORTING PERIOD

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OVER $100,000

Comments:

► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

* You are not required to report loans from a commercial lending institution, or any indebtedness created as part of

a retail installment or credit card transaction, made in the lender’s regular course of business on terms available

to members of the public without regard to your ocial status. Personal loans and loans received not in a lender’s

regular course of business must be disclosed as follows:

SECURITY FOR LOAN

None Personal residence

Real Property

Guarantor

Other

Street address

City

(Describe)

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

Salary Spouse’s or registered domestic partner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use

Schedule A-2.)

Sale of

Other

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

Salary Spouse’s or registered domestic partner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use

Schedule A-2.)

Sale of

Other

(Describe) (Describe)

Rental Income, list each source of $10,000 or more Rental Income, list each source of $10,000 or moreCommission or Commission or

Loan repayment Loan repayment

FPPC Form 700 - Schedule C (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 13

Instructions – Schedule C

Income, Loans, & Business Positions

(Income Other Than Gifts and Travel Payments)

Reporting Income:

Report the source and amount of gross income of $500 or

more you received during the reporting period. Gross income

is the total amount of income before deducting expenses,

losses, or taxes and includes loans other than loans from a

commercial lending institution. (See Reference Pamphlet,

page 11.) You must also report the source of income to your

spouse or registered domestic partner if your community

property share was $500 or more during the reporting period.

The source and income must be reported only if the source

is located in, doing business in, planning to do business in,

or has done business during the previous two years in your

agency’s jurisdiction. (See Reference Pamphlet, page 13.)

Reportable sources of income may be further limited by

your disclosure category located in your agency’s conict of

interest code.

Reporting Business Positions:

You must report your job title with each reportable business

entity even if you received no income during the reporting

period. Use the comments section to indicate that no income

was received.

Commonly reportable income and loans include:

• Salary/wages, per diem, and reimbursement for expenses

including travel payments provided by your employer

• Community property interest (50%) in your spouse’s

or registered domestic partner’s income - report the

employer’s name and all other required information

• Income from investment interests, such as partnerships,

reported on Schedule A-1

• Commission income not required to be reported on

Schedule A-2 (See Reference Pamphlet, page 8.)

• Gross income from any sale, including the sale of a house

or car (Report your pro rata share of the total sale price.)

• Rental income not required to be reported on Schedule B

• Prizes or awards not disclosed as gifts

• Payments received on loans you made to others

• An honorarium received prior to becoming a public ocial

(See Reference Pamphlet, page 10.)

• Incentive compensation (See Reference Pamphlet, page

12.)

You are not required to report:

• Salary, reimbursement for expenses or per diem, or

social security, disability, or other similar benet payments

received by you or your spouse or registered domestic

partner from a federal, state, or local government agency.

• Stock dividends and income from the sale of stock unless

the source can be identied.

• Income from a PERS retirement account.

(See Reference Pamphlet, page 12.)

To Complete Schedule C:

Part 1. Income Received/Business Position Disclosure

• Disclose the name and address of each source of income

or each business entity with which you held a business

position.

• Provide a general description of the business activity if the

source is a business entity.

• Check the box indicating the amount of gross income

received.

• Identify the consideration for which the income was

received.

• For income from commission sales, check the box

indicating the gross income received and list the name of

each source of commission income of $10,000 or more.

(See Reference Pamphlet, page 8.) Note: If you receive

commission income on a regular basis or have an

ownership interest of 10% or more, you must disclose

the business entity and the income on Schedule A-2.

• Disclose the job title or business position, if any, that you

held with the business entity, even if you did not receive

income during the reporting period.

Part 2. Loans Received or Outstanding During the

Reporting Period

• Provide the name and address of the lender.

• Provide a general description of the business activity if the

lender is a business entity.

• Check the box indicating the highest balance of the loan

during the reporting period.

• Disclose the interest rate and the term of the loan.

- For variable interest rate loans, disclose the conditions

of the loan (e.g., Prime + 2) or the average interest rate

paid during the reporting period.

- The term of the loan is the total number of months or

years given for repayment of the loan at the time the

loan was entered into.

• Identify the security, if any, for the loan.

Reminders

• Code lers – your disclosure categories may not require

disclosure of all sources of income.

• If you or your spouse or registered domestic partner are

self-employed, report the business entity on Schedule A-2.

• Do not disclose on Schedule C income, loans, or business

positions already reported on Schedules A-2 or B.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 14

SCHEDULE D

Income – Gifts

Comments:

Name

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

/ / $

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

/ / $

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

/ / $

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

/ / $

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

/ / $

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

/ / $

FPPC Form 700 - Schedule D (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 15

Instructions – Schedule D

Income – Gifts

Reminders

• Gifts from a single source are subject to a $500 limit in

2019. (See Reference Pamphlet, page 10.)

• Code lers – you only need to report gifts from

reportable sources.

Gift Tracking Mobile Application

• FPPC has created a gift tracking app for mobile

devices that helps lers track gifts and provides a quick

and easy way to upload the information to the Form

700. Visit FPPC’s website to download the app.

A gift is anything of value for which you have not provided

equal or greater consideration to the donor. A gift is

reportable if its fair market value is $50 or more. In addition,

multiple gifts totaling $50 or more received during the

reporting period from a single source must be reported.

It is the acceptance of a gift, not the ultimate use to which it is

put, that imposes your reporting obligation. Except as noted

below, you must report a gift even if you never used it or if you

gave it away to another person.

If the exact amount of a gift is unknown, you must make a

good faith estimate of the item’s fair market value. Listing

the value of a gift as “over $50” or “value unknown” is not

adequate disclosure. In addition, if you received a gift through

an intermediary, you must disclose the name, address, and

business activity of both the donor and the intermediary. You

may indicate an intermediary either in the “source” eld

after the name or in the “comments” section at the bottom

of Schedule D.

Commonly reportable gifts include:

• Tickets/passes to sporting or entertainment events

• Tickets/passes to amusement parks

• Parking passes not used for ocial agency business

• Food, beverages, and accommodations, including those

provided in direct connection with your attendance at a

convention, conference, meeting, social event, meal, or like

gathering

• Rebates/discounts not made in the regular course of

business to members of the public without regard to ocial

status

• Wedding gifts (See Reference Pamphlet, page 16)

• An honorarium received prior to assuming oce (You may

report an honorarium as income on Schedule C, rather

than as a gift on Schedule D, if you provided services of

equal or greater value than the payment received. See

Reference Pamphlet, page 10.)

• Transportation and lodging (See Schedule E.)

• Forgiveness of a loan received by you

You are not required to disclose:

• Gifts that were not used and that, within 30 days after

receipt, were returned to the donor or delivered to a

charitable organization or government agency without

being claimed by you as a charitable contribution for tax

purposes

• Gifts from your spouse or registered domestic partner,

child, parent, grandparent, grandchild, brother, sister, and

certain other family members (See Regulation 18942 for a

complete list.). The exception does not apply if the donor

was acting as an agent or intermediary for a reportable

source who was the true donor.

• Gifts of similar value exchanged between you and an

individual, other than a lobbyist registered to lobby your

state agency, on holidays, birthdays, or similar occasions

• Gifts of informational material provided to assist you in the

performance of your ocial duties (e.g., books, pamphlets,

reports, calendars, periodicals, or educational seminars)

• A monetary bequest or inheritance (However, inherited

investments or real property may be reportable on other

schedules.)

• Personalized plaques or trophies with an individual value of

less than $250

• Campaign contributions

• Up to two tickets, for your own use, to attend a fundraiser

for a campaign committee or candidate, or to a fundraiser

for an organization exempt from taxation under Section

501(c)(3) of the Internal Revenue Code. The ticket must

be received from the organization or committee holding the

fundraiser.

• Gifts given to members of your immediate family if the

source has an established relationship with the family

member and there is no evidence to suggest the donor had

a purpose to inuence you. (See Regulation 18943.)

• Free admission, food, and nominal items (such as a pen,

pencil, mouse pad, note pad or similar item) available to

all attendees, at the event at which the ocial makes a

speech (as dened in Regulation 18950(b)(2)), so long as

the admission is provided by the person who organizes the

event.

• Any other payment not identied above, that would

otherwise meet the denition of gift, where the payment is

made by an individual who is not a lobbyist registered to

lobby the ocial’s state agency, where it is clear that the

gift was made because of an existing personal or business

relationship unrelated to the ocial’s position and there

is no evidence whatsoever at the time the gift is made to

suggest the donor had a purpose to inuence you.

To Complete Schedule D:

• Disclose the full name (not an acronym), address, and, if a

business entity, the business activity of the source.

• Provide the date (month, day, and year) of receipt, and

disclose the fair market value and description of the gift.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 16

SCHEDULE E

Income – Gifts

Travel Payments, Advances,

and Reimbursements

Name

Comments:

700

FAIR POLITICAL PRACTICES COMMISSION

CALIFORNIA FORM

• Mark either the gift or income box.

• Mark the “501(c)(3)” box for a travel payment received from a nonprot 501(c)(3) organization

or the “Speech” box if you made a speech or participated in a panel. Per Government Code

Section 89506, these payments may not be subject to the gift limit. However, they may result

in a disqualifying conict of interest.

• For gifts of travel, provide the travel destination.

DATE(S): / / - / / AMT: $

(If gift)

DATE(S): / / - / / AMT: $

(If gift)

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

► MUST CHECK ONE:

Made a Speech/Participated in a Panel

Other - Provide Description

Gift -or- Income

► If Gift, Provide Travel Destination

► MUST CHECK ONE:

Made a Speech/Participated in a Panel

Other - Provide Description

Gift -or- Income

► If Gift, Provide Travel Destination

► MUST CHECK ONE:

Made a Speech/Participated in a Panel

Other - Provide Description

Gift -or- Income

► If Gift, Provide Travel Destination

► MUST CHECK ONE:

Made a Speech/Participated in a Panel

Other - Provide Description

Gift -or- Income

► If Gift, Provide Travel Destination

DATE(S): / / - / / AMT: $

(If gift)

DATE(S): / / - / / AMT: $

(If gift)

FPPC Form 700 - Schedule E (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 17

Travel payments reportable on Schedule E include advances

and reimbursements for travel and related expenses,

including lodging and meals.

Gifts of travel may be subject to the gift limit. In addition,

certain travel payments are reportable gifts, but are not

subject to the gift limit. To avoid possible misinterpretation or

the perception that you have received a gift in excess of the

gift limit, you may wish to provide a specic description of

the purpose of your travel. (See the FPPC fact sheet entitled

“Limitations and Restrictions on Gifts, Honoraria, Travel,

and Loans” to read about travel payments under section

89506(a).)

You are not required to disclose:

• Travel payments received from any state, local, or federal

government agency for which you provided services equal

or greater in value than the payments received, such as

reimbursement for travel on agency business from your

government agency employer.

• A payment for travel from another local, state, or federal

government agency and related per diem expenses when

the travel is for education, training or other inter-agency

programs or purposes.

• Travel payments received from your employer in the

normal course of your employment that are included in the

income reported on Schedule C.

• A travel payment that was received from a nonprot

entity exempt from taxation under Internal Revenue

Code Section 501(c)(3) for which you provided equal or

greater consideration, such as reimbursement for travel on

business for a 501(c)(3) organization for which you are a

board member.

Note: Certain travel payments may not be reportable

if reported via email on Form 801 by your agency.

To Complete Schedule E:

• Disclose the full name (not an acronym) and address of the

source of the travel payment.

• Identify the business activity if the source is a business

entity.

• Check the box to identify the payment as a gift or income,

report the amount, and disclose the date(s).

• Travel payments are gifts if you did not provide

services that were equal to or greater in value than the

payments received. You must disclose gifts totaling $50

or more from a single source during the period covered

by the statement.

When reporting travel payments that are gifts, you must

provide a description of the gift, the date(s) received,

and the travel destination.

• Travel payments are income if you provided services

that were equal to or greater in value than the

payments received. You must disclose income totaling

$500 or more from a single source during the period

covered by the statement. You have the burden of

proving the payments are income rather than gifts.

When reporting travel payments as income, you must

describe the services you provided in exchange for the

payment. You are not required to disclose the date(s)

for travel payments that are income.

Example:

City council member MaryClaire Chandler is the chair of a

501(c)(6) trade association, and the association pays for her

travel to attend its meetings. Because MaryClaire is deemed

to be providing equal or

greater consideration for

the travel payment by

virtue of serving on the

board, this payment may

be reported as income.

Payments for MaryClaire

to attend other events for

which she is not providing

services are likely

considered gifts. Note that

the same payment from a

501(c)3 would NOT be reportable.

Example:

Mayor Kim travels to China on a trip organized by China

Silicon Valley Business Development, a California nonprot,

501(c)(6) organization. The Chengdu Municipal People’s

Government pays for Mayor Kim’s airfare and travel costs,

as well as his meals and

lodging during the trip.

The trip’s agenda shows

that the trip’s purpose is

to promote job creation

and economic activity

in China and in Silicon

Valley, so the trip is

reasonably related to a

governmental purpose.

Thus, Mayor Kim must

report the gift of travel,

but the gift is exempt from the gift limit. In this case, the travel

payments are not subject to the gift limit because the source

is a foreign government and because the travel is reasonably

related to a governmental purpose. (Section 89506(a)(2).)

Note that Mayor Kim could be disqualied from participating in

or making decisions about The Chengdu Municipal People’s

Government for 12 months. Also note that if China Silicon

Valley Business Development (a 501(c)(6) organization) paid

for the travel costs rather than the governmental organization,

the payments would be subject to the gift limits. (See the

FPPC fact sheet, Limitations and Restrictions on Gifts,

Honoraria, Travel and Loans, at www.fppc.ca.gov.)

Instructions – Schedule E

Travel Payments, Advances,

and Reimbursements

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 18

 

Income – Gifts

 

and Reimbursements

CALIFORNIA FORM

700

  

Name

• 

• 

 



• 

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination



FPPC Form 700 (2016/2017) Sch. E

FPPC Advice Email: advice@fppc.ca.gov

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

Health Services Trade Association

1230 K Street, Suite 610

Sacramento, CA

Association of Healthcare Workers

550.00

Travel reimbursement for

board meeting.

Chengdu Municipal People's Government

2 Caoshi St, CaoShiJie, Qingyang Qu, Chengdu Shi,

Sichuan Sheng, China, 610000

09

XX

3,874.38

08

09

04

Travel reimbursement for

trip to China.

Sichuan Sheng, China

Clear Page

Print

 

Income – Gifts

 

and Reimbursements

CALIFORNIA FORM

700

  

Name

• 

• 

 



• 

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination

► NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

501 (c)(3) or DESCRIBE BuSINESSACTIvITY,IFANY,OFSOuRCE

DATE(S):

/ / - / / AMT: $

(If gift)

► MuST CHECK ONE:

Gift  Income

Made a Speech/Participated in a Panel

Other - Provide Description

►If Gift, Provide Travel Destination



FPPC Form 700 (2016/2017) Sch. E

FPPC Advice Email: advice@fppc.ca.gov

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

Health Services Trade Association

1230 K Street, Suite 610

Sacramento, CA

Association of Healthcare Workers

550.00

Travel reimbursement for

board meeting.

Chengdu Municipal People's Government

2 Caoshi St, CaoShiJie, Qingyang Qu, Chengdu Shi,

Sichuan Sheng, China, 610000

09

XX

3,874.38

08

09

04

Travel reimbursement for

trip to China.

Sichuan Sheng, China

Clear Page

Print

Restrictions and Prohibitions

The Political Reform Act (Gov. Code Sections 81000-

91014) requires most state and local government ocials

and employees to publicly disclose their personal assets

and income. They also must disqualify themselves

from participating in decisions that may aect their

personal economic interests. The Fair Political Practices

Commission (FPPC) is the state agency responsible for

issuing the attached Statement of Economic Interests,

Form 700, and for interpreting the law’s provisions.

Gift Prohibition

Gifts received by most state and local ocials, employees,

and candidates are subject to a limit. In 2019-2020, the gift

limit is $500 from a single source during a calendar year.

Additionally, state ocials, state candidates, and certain

state employees are subject to a $10 limit per calendar

month on gifts from lobbyists and lobbying rms registered

with the Secretary of State. See Reference Pamphlet,

page 10.

State and local ocials and employees should check with

their agency to determine if other restrictions apply.

Disqualication

Public ocials are, under certain circumstances, required

to disqualify themselves from making, participating in, or

attempting to inuence governmental decisions that will

aect their economic interests. This may include interests

they are not required to disclose. For example, a personal

residence is often not reportable, but may be grounds for

disqualication. Specic disqualication requirements

apply to 87200 lers (e.g., city councilmembers, members

of boards of supervisors, planning commissioners, etc.).

These ocials must publicly identify the economic interest

that creates a conict of interest and leave the room before

a discussion or vote takes place at a public meeting. For

more information, consult Government Code Section

87105, Regulation 18707, and the Guide to Recognizing

Conicts of Interest page at www.fppc.ca.gov.

Honorarium Ban

Most state and local ocials, employees, and candidates

are prohibited from accepting an honorarium for any

speech given, article published, or attendance at a

conference, convention, meeting, or like gathering. (See

Reference Pamphlet, page 10.)

Loan Restrictions

Certain state and local ocials are subject to restrictions

on loans. (See Reference Pamphlet, page 14.)

Post-Governmental Employment

There are restrictions on representing clients or employers

before former agencies. The provisions apply to elected

state ocials, most state employees, local elected ocials,

county chief administrative ocers, city managers,

including the chief administrator of a city, and general

managers or chief administrators of local special districts

and JPAs. The FPPC website has fact sheets explaining

the provisions.

Late Filing

The ling ocer who retains originally-signed or

electronically led statements of economic interests may

impose on an individual a ne for any statement that is led

late. The ne is $10 per day up to a maximum of $100.

Late ling penalties may be reduced or waived under certain

circumstances.

Persons who fail to timely le their Form 700 may be

referred to the FPPC’s Enforcement Division (and, in some

cases, to the Attorney General or district attorney) for

investigation and possible prosecution. In addition to the

late ling penalties, a ne of up to $5,000 per violation may

be imposed.

For assistance concerning reporting, prohibitions, and

restrictions under the Act:

• Email questions to advice@fppc.ca.gov.

• Call the FPPC toll-free at (866) 275-3772.

Form 700 is a Public Document

Public Access Must Be Provided

Statements of Economic Interests are public

documents. The ling ocer must permit any

member of the public to inspect and receive a copy

of any statement.

• Statements must be available as soon as possible

during the agency's regular business hours, but

in any event not later than the second business

day after the statement is received. Access to the

Form 700 is not subject to the Public Records Act

procedures.

• No conditions may be placed on persons seeking

access to the forms.

• No information or identication may be required

from persons seeking access.

• Reproduction fees of no more than 10 cents per

page may be charged.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 19

Questions and Answers

General

Q. What is the reporting period for disclosing interests

on an assuming oce statement or a candidate

statement?

A. On an assuming oce statement, disclose all

reportable investments, interests in real property, and

business positions held on the date you assumed

oce. In addition, you must disclose income (including

loans, gifts and travel payments) received during the 12

months prior to the date you assumed oce.

On a candidate statement, disclose all reportable

investments, interests in real property, and business

positions held on the date you le your declaration of

candidacy. You must also disclose income (including

loans, gifts and travel payments) received during the

12 months prior to the date you le your declaration of

candidacy.

Q. I hold two other board positions in addition to my

position with the county. Must I le three statements of

economic interests?

A. Yes, three are required. However, you may complete

one statement listing the county and the two boards on

the Cover Page or an attachment as the agencies for

which you will be ling. Report your economic interests

using the largest jurisdiction and highest disclosure

requirements assigned to you by the three agencies.

Make two copies of the entire statement before

signing it, sign each copy with an original signature,

and distribute one original to the county and to each

of the two boards. Remember to complete separate

statements for positions that you leave or assume

during the year.

Q. I am a department head who recently began acting as

city manager. Should I le as the city manager?

A. Yes. File an assuming oce statement as city

manager. Persons serving as “acting,” “interim,” or

“alternate” must le as if they hold the position because

they are or may be performing the duties of the

position.

Q. My spouse and I are currently separated and in the

process of obtaining a divorce. Must I still report my

spouse’s income, investments, and interests in real

property?

A. Yes. A public ocial must continue to report a spouse’s

economic interests until such time as dissolution of

marriage proceedings is nal. However, if a separate

property agreement has been reached prior to that

time, your estranged spouse’s income may not have to

be reported. Contact the FPPC for more information.

Q. As a designated employee, I left one state agency to

work for another state agency. Must I le a leaving

oce statement?

A. Yes. You may also need to le an assuming oce

statement for the new agency.

Investment Disclosure

Q. I have an investment interest in shares of stock in a

company that does not have an oce in my jurisdiction.

Must I still disclose my investment interest in this

company?

A. Probably. The denition of “doing business in the

jurisdiction” is not limited to whether the business has

an oce or physical location in your jurisdiction. (See

Reference Pamphlet, page 13.)

Q. My spouse and I have a living trust. The trust holds

rental property in my jurisdiction, our primary residence,

and investments in diversied mutual funds. I have full

disclosure. How is this trust disclosed?

A. Disclose the name of the trust, the rental property and

its income on Schedule A-2. Your primary residence

and investments in diversied mutual funds registered

with the SEC are not reportable.

Q. I am required to report all investments. I have an IRA

that contains stocks through an account managed by

a brokerage rm. Must I disclose these stocks even

though they are held in an IRA and I did not decide

which stocks to purchase?

A. Yes. Disclose on Schedule A-1 or A-2 any stock worth

$2,000 or more in a business entity located in or doing

business in your jurisdiction.

Q. The value of my stock changed during the reporting

period. How do I report the value of the stock?

A. You are required to report the highest value that the

stock reached during the reporting period. You may

use your monthly statements to determine the highest

value. You may also use the entity’s website to

determine the highest value. You are encouraged to

keep a record of where you found the reported value.

Note that for an assuming oce statement, you must

report the value of the stock on the date you assumed

oce.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 20

Questions and Answers

Continued

Q. I am the sole owner of my business, an S-Corporation.

I believe that the nature of the business is such that it

cannot be said to have any “fair market value” because

it has no assets. I operate the corporation under

an agreement with a large insurance company. My

contract does not have resale value because of its

nature as a personal services contract. Must I report

the fair market value for my business on Schedule A-2

of the Form 700?

A. Yes. Even if there are no tangible assets, intangible

assets, such as relationships with companies and

clients are commonly sold to qualied professionals.

The “fair market value” is often quantied for other

purposes, such as marital dissolutions or estate

planning. In addition, the IRS presumes that “personal

services corporations” have a fair market value. A

professional “book of business” and the associated

goodwill that generates income are not without a

determinable value. The Form 700 does not require a

precise fair market value; it is only necessary to check

a box indicating the broad range within which the value

falls.

Q. I own stock in IBM and must report this investment

on Schedule A-1. I initially purchased this stock in

the early 1990s; however, I am constantly buying

and selling shares. Must I note these dates in the

“Acquired” and “Disposed” elds?

A. No. You must only report dates in the “Acquired” or

“Disposed” elds when, during the reporting period, you

initially purchase a reportable investment worth $2,000

or more or when you dispose of the entire investment.

You are not required to track the partial trading of an

investment.

Q. On last year’s ling I reported stock in Encoe valued at

$2,000 - $10,000. Late last year the value of this stock

fell below and remains at less than $2,000. How should

this be reported on this year’s statement?

A. You are not required to report an investment if the value

was less than $2,000 during the entire reporting period.

However, because a disposed date is not required for

stocks that fall below $2,000, you may want to report

the stock and note in the “comments” section that the

value fell below $2,000. This would be for informational

purposes only; it is not a requirement.

Q. We have a Section 529 account set up to save money

for our son’s college education. Is this reportable?

A. If the Section 529 account contains reportable interests

(e.g., common stock valued at $2,000 or more), those

interests are reportable (not the actual Section 529

account). If the account contains solely mutual funds,

then nothing is reported.

Income Disclosure

Q. I reported a business entity on Schedule A-2. Clients of

my business are located in several states. Must I report

all clients from whom my pro rata share of income is

$10,000 or more on Schedule A-2, Part 3?

A. No, only the clients located in or doing business on a

regular basis in your jurisdiction must be disclosed.

Q. I believe I am not required to disclose the names of

clients from whom my pro rata share of income is

$10,000 or more on Schedule A-2 because of their right

to privacy. Is there an exception for reporting clients’

names?

A. Regulation 18740 provides a procedure for requesting

an exemption to allow a client’s name not to be

disclosed if disclosure of the name would violate a

legally recognized privilege under California or Federal

law. This regulation may be obtained from our website

at www.fppc.ca.gov. (See Reference Pamphlet, page

14.)

Q. I am sole owner of a private law practice that is not

reportable based on my limited disclosure category.

However, some of the sources of income to my law

practice are from reportable sources. Do I have to

disclose this income?

A. Yes, even though the law practice is not reportable,

reportable sources of income to the law practice of

$10,000 or more must be disclosed. This information

would be disclosed on Schedule C with a note in the

“comments” section indicating that the business entity

is not a reportable investment. The note would be for

informational purposes only; it is not a requirement.

FPPC Form 700 (2019/2020)

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Page - 21

Questions and Answers

Continued

Q. I am the sole owner of my business. Where do I

disclose my income - on Schedule A-2 or Schedule C?

A. Sources of income to a business in which you have an

ownership interest of 10% or greater are disclosed on

Schedule A-2. (See Reference Pamphlet, page 8.)

Q. My husband is a partner in a four-person rm where

all of his business is based on his own billings and

collections from various clients. How do I report my

community property interest in this business and the

income generated in this manner?

A. If your husband’s investment in the rm is 10% or

greater, disclose 100% of his share of the business

on Schedule A-2, Part 1 and 50% of his income on

Schedule A-2, Parts 2 and 3. For example, a client of

your husband’s must be a source of at least $20,000

during the reporting period before the client’s name is

reported.

Q. How do I disclose my spouse’s or registered domestic

partner’s salary?

A. Report the name of the employer as a source of income

on Schedule C.

Q. I am a doctor. For purposes of reporting $10,000

sources of income on Schedule A-2, Part 3, are the

patients or their insurance carriers considered sources

of income?

A. If your patients exercise sucient control by selecting

you instead of other doctors, then your patients, rather

than their insurance carriers, are sources of income to

you. (See Reference Pamphlet, page 14.)

Q. I received a loan from my grandfather to purchase my

home. Is this loan reportable?

A. No. Loans received from family members are not

reportable.

Q. Many years ago, I loaned my parents several thousand

dollars, which they paid back this year. Do I need to

report this loan repayment on my Form 700?

A. No. Payments received on a loan made to a family

member are not reportable.

Real Property Disclosure

Q. During this reporting period we switched our principal

place of residence into a rental. I have full disclosure

and the property is located in my agency’s jurisdiction,

so it is now reportable. Because I have not reported

this property before, do I need to show an “acquired”

date?

A. No, you are not required to show an “acquired” date

because you previously owned the property. However,

you may want to note in the “comments” section that

the property was not previously reported because it was

used exclusively as your residence. This would be for

informational purposes only; it is not a requirement.

Q. I am a city manager, and I own a rental property located

in an adjacent city, but one mile from the city limit. Do I

need to report this property interest?

A. Yes. You are required to report this property because

it is located within 2 miles of the boundaries of the city

you manage.

Q. Must I report a home that I own as a personal residence

for my daughter?

A. You are not required to disclose a home used as a

personal residence for a family member unless you

receive income from it, such as rental income.

Q. I am a co-signer on a loan for a rental property owned

by a friend. Since I am listed on the deed of trust, do I

need to report my friend’s property as an interest in real

property on my Form 700?

A. No. Simply being a co-signer on a loan for property

does not create a reportable interest in real property for

you.

Gift Disclosure

Q. If I received a reportable gift of two tickets to a concert

valued at $100 each, but gave the tickets to a friend

because I could not attend the concert, do I have any

reporting obligations?

A. Yes. Since you accepted the gift and exercised

discretion and control of the use of the tickets, you must

disclose the gift on Schedule D.

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 22

Q. Julia and Jared Benson, a married couple, want to

give a piece of artwork to a county supervisor. Is each

spouse considered a separate source for purposes of

the gift limit and disclosure?

A. Yes, each spouse may make a gift valued at the gift

limit during a calendar year. For example, during 2019

the gift limit was $500, so the Bensons may have given

the supervisor artwork valued at no more than $1,000.

The supervisor must identify Jared and Julia Benson as

the sources of the gift.

Q. I am a Form 700 ler with full disclosure. Our agency

holds a holiday rae to raise funds for a local charity.

I bought $10 worth of rae tickets and won a gift

basket valued at $120. The gift basket was donated by

Doug Brewer, a citizen in our city. At the same event,

I bought rae tickets for, and won a quilt valued at

$70. The quilt was donated by a coworker. Are these

reportable gifts?

A. Because the gift basket was donated by an outside

source (not an agency employee), you have received a

reportable gift valued at $110 (the value of the basket

less the consideration paid). The source of the gift

is Doug Brewer and the agency is disclosed as the

intermediary. Because the quilt was donated by an

employee of your agency, it is not a reportable gift.

Q. My agency is responsible for disbursing grants. An

applicant (501(c)(3) organization) met with agency

employees to present its application. At this meeting,

the applicant provided food and beverages. Would

the food and beverages be considered gifts to the

employees? These employees are designated in our

agency’s conict of interest code and the applicant is a

reportable source of income under the code.

A. Yes. If the value of the food and beverages consumed

by any one ler, plus any other gifts received from the

same source during the reporting period total $50 or

more, the food and beverages would be reported using

the fair market value and would be subject to the gift

limit.

Q. I received free admission to an educational conference

related to my ocial duties. Part of the conference

fees included a round of golf. Is the value of the golf

considered informational material?

A. No. The value of personal benets, such as golf,

attendance at a concert, or sporting event, are gifts

subject to reporting and limits.

Questions and Answers

Continued

FPPC Form 700 (2019/2020)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov

Page - 23

Limitations and

Restrictions on

Gifts, Honoraria,

Travel and Loans

A Fact Sheet For

 Local Elected Officers and Candidates for Local

Elective Offices

 Local Officials Specified in Government Code

Section 87200

 Judicial Candidates

 Designated Employees of Local Government

Agencies

California Fair Political

Practices Commission

Toll-free advice line: 1 (866) ASK-FPPC

Email advice: advice@fppc.ca.gov

Web site: www.fppc.ca.gov

February 2019

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FPPC EAED • 046 2-2019 • Page 2 of 14

Introduction

The Political Reform Act

1

(the “Act”) imposes limits on gifts, prohibits honoraria payments, and imposes

limits and other restrictions on the receipt of travel payments received by:

- Local elected officers and other local officials specified in Government Code Section 87200,

2

excluding judges;

3

- Designated employees of local government agencies (i.e., individuals required to file statements of

economic interests under a local agency’s conflict of interest code); and

- Candidates

4

for any of these offices or positions and judicial candidates. (Sections 89502 and

89503.)

The Act also imposes limits and other restrictions on personal loans received by certain local officials.

This fact sheet summarizes the major provisions of the Act concerning gifts, honoraria, travel, and loans.

It contains highlights of the law, but does not carry the weight of law. For more information, contact the

Fair Political Practices Commission at (866) 275-3772 or advice@fppc.ca.gov or visit our website at

www.fppc.ca.gov. Commission advice letters are available on our website. Public officials may also be

subject to local restrictions on gifts, honoraria, or travel.

Enforcement

Failure to comply with the laws related to gifts, honoraria, loans, and travel payments may,

depending on the violation, result in criminal prosecution and substantial fines, or in

administrative or civil monetary penalties for as much as $5,000 per violation or three times the

amount illegally obtained. (See Sections 83116, 89520, 89521, 91000, 91004 and 91005.5.)

1

The Political Reform Act is contained in Government Code Sections 81000 through 91014. All statutory

references are to the Government Code, unless otherwise indicated. The regulations of the Fair Political Practices

Commission are contained in Sections 18110 through 18997 of Title 2 of the California Code of Regulations. All

regulatory references are to Title 2, Division 6 of the California Code of Regulations, unless otherwise indicated.

2

Local officials specified in Government Code Section 87200 include: members of boards of supervisors and city

councils, mayors, city/county planning commissioners, city/county chief administrative officers, city/county treasurers,

district attorneys, county counsels, city managers, city attorneys, court commissioners and public officials who

manage public investments.

3

The gift limits and honoraria ban in the Political Reform Act do not apply to a person in his or her capacity as

judge. However, candidates for judicial offices are subject to the restrictions contained in the Political Reform Act.

(Sections 89502 and 89503.)

4

For purposes of the gift limit and honoraria prohibition, an individual becomes a “candidate” when he or she files a

statement of organization (Form 410) as a controlled committee for the purpose of seeking elective office, a

candidate intention statement (Form 501), or a declaration of candidacy, whichever occurs first. If an individual is an

unsuccessful candidate, he or she will no longer be subject to the gift limit and honoraria prohibition when he or she

has terminated his or her campaign filing obligations, or after certification of election results, whichever is earlier.

(Sections 89502(b) and 89503(b).)

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Gifts

Limitations

Local elected officers, candidates for local elective office, local officials specified in Government Code

Section 87200, and judicial candidates, may not accept gifts from any single source totaling more than

$500 in a calendar year. (Section 89503.)

5

Employees of a local government agency who are designated in the agency’s conflict of interest code

may not accept gifts from any single source totaling more than $500in a calendar year if the employee is

required to report receiving income or gifts from that source on his or her statement of economic interests

(Form 700). (Section 89503(c).)

What is a “Gift”?

A “gift” is any payment or other benefit that confers a personal benefit for which a public official does not

provide payment or services of equal or greater value. A gift includes a rebate or discount in the price of

anything of value unless the rebate or discount is made in the regular course of business to members of

the public. (Section 82028.) (See Regulation 18946 for valuation guidelines.)

Except as discussed below, a public official has “received” or “accepted” a gift when he or she has actual

possession of the gift or when he or she takes any action exercising direction or control over the gift,

including discarding the gift or turning it over to another person. This includes gifts that are accepted by

someone else on the official’s behalf and gifts made to others at the direction of the official. (Regulation

18941.)

Gifts to Family Members

Under certain circumstances, a gift to an official’s family member* is considered a gift to the official.

(Regulation 18943.) Anything given to a family member is presumed to be a gift to the official if: (1) there

is no established relationship between the donor and the family member where it would generally be

considered appropriate for the family member to receive the gift or; (2) the donor is someone who lobbies

the official’s agency, is involved in an action before the official’s agency in which the official may

foreseeably participate, or engages in business with the agency in which the official will foreseeably

participate. (Wedding gifts are treated differently, see below.)

*For purposes of this rule, an official’s “family member” includes the official’s spouse; registered domestic

partner; any minor child of the official who the official can claim as a dependent for federal tax purposes;

and a child of the official who is aged 18 to 23 years old, attends school, resides with the official when not

attending school, and provides less than one-half of his or her own support.

5

The gift limit is adjusted biennially to reflect changes in the Consumer Price Index. For 2019-2020, the gift limit is

$500. (Section 89503; Regulation 18940.2.) Gifts from a single source aggregating to $50 or more must be disclosed,

and gifts aggregating to $500 or more during any 12-month period may subject an official to disqualification with

respect to the source. (Section 87103(e).) Designated employees should obtain a copy of their conflict of interest

code from their agency. Some conflict of interest codes require very limited disclosure of income and gifts. Gifts from

sources that are not required to be disclosed on the Form 700 are not subject to the $500 gift limit but still may

subject the public official to disqualification.

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Source of Gift

Under most circumstances, it is clear who the source of a gift is, but if the circumstances indicate that the

gift is being provided by an intermediary, the public official must determine both the donor and the

intermediary in reporting the gift. Regulation 18945 provides the rules for determining the source of the

gift.

Gifts from Multiple Sources

In determining the cumulative value of any reportable gifts, separate gifts from an individual and an entity

that the individual controls must be aggregated as one source to comply with the reporting and limit

requirements. For example, separate gifts from the owner of a company and from the company itself

would be treated as if from one source if the owner has more than a 50 percent interest in the company,

unless the making of the gift was determined by someone else in the company. In that case, the gift from

the company would be aggregated with any gifts made by that determining individual. (Regulation

18945.1.)

Group gifts, where a public official receives a single gift from multiple donors (such as a retirement gift

from coworkers), need not be reported unless any person contributes $50 or more to the total cost of the

gift. In that case, the public official would only report a gift from each of those persons. (Regulation

18945.2.)

Valuing Gifts

The general rule for determining the value of a gift is to apply the fair market value at the time the gift is

received. Fair market value can be determined by finding any local or Internet advertisement for the item.

Special exceptions to the fair market value rule are contained in Regulations 18946.1 through 18946.5

covering admission to ticketed and invitation-only events, wedding gifts, attendance at nonprofit and

political fundraisers, and air travel. (Regulation 18946.) For example, for ticketed events, the value is the

face value of the ticket.

General Gift Exceptions

Form 700 Reporting

C/I § 87100

Honoraria Ban

$500 Gift Limit

No

The following payments are exceptions to the definition of gift and are not considered gifts or income.

1. Return or Reimbursement of Gift. Items that are returned (unused) to the donor, or for which the

public official reimburse the donor, within 30 days of receipt. (Section 82028(b)(2); Regulation 18941.)

2. Donation of Gift to Nonprofit Group. Items that are donated (unused) to a non-profit, tax-exempt

(501(c)(3)) organization in which the official (or immediate family member) does not hold a position, or to

a government agency, within 30 days of receipt without claiming a deduction for tax purposes. (Section

82028(b)(2); Regulation 18941.)

3. Gifts from Family. Gifts from the public official’s spouse (or former spouse), child, parent,

grandparent, grandchild, brother, sister, current or former parent-in-law, brother-in-law, sister-in-law, aunt,

uncle, niece, nephew, or first cousin or the spouse of any such person, unless he or she is acting as an

agent or intermediary for another person who is the true source of the gift. (Section 82028(b)(3);

Regulation 18942(a)(3).) This exception includes great grandparents, great uncles and aunts, great

nieces and nephews, and first cousins once removed.

4. Informational Material. Informational material provided to assist the public official in the performance

of his or her official duties, including books, reports, pamphlets, calendars, periodicals, videotapes, or free

admission or discounts to informational conferences or seminars.

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“Informational material” may also include scale models, pictorial representations, maps, and other such

items. However, if the item’s fair market value is more than $-500, the public official has the burden of

demonstrating that the item is informational. In addition, on-site demonstrations, tours, or inspections,

including air flights over an area that is the subject of the information and designed specifically for public

officials, are considered informational material. However, this exception does not apply to meals or

lodging. Furthermore, the exception generally does not apply to transportation to the site, except for any

portion of the transportation that is not commercially available. (Section 82028(b)(1); Regulations

18942(a)(1) and 18942.1.)

5. Inheritance. A devise or inheritance. (Section 82028(b)(5); Regulation 18942(a)(5).)

6. Campaign Contributions. Campaign contributions to an official, including rebates or discounts

received in connection with campaign activities (Section 82028(b)(4); Regulations 18942(a)(4), 18950(a)

and 18950.3(a)) and permissible expenditures of campaign funds for campaign-related expenses,

including payments for transportation, lodging or food (Regulations 18950(a) and 18950.3(b)), provided

they comply and are properly reported in accordance with applicable campaign finance laws.

7. Plaques. Personalized plaques and trophies with an individual value of less than $250. (Section

82028(b)(6); Regulation 18942(a)(6).)

8. Ceremonial Role. Free admission to a ticketed event (including any benefits included in the price of

the ticket such as a free meal) for the official and one guest at an event where the official performs a

ceremonial role, such as throwing out the first pitch at a Dodgers’ game, so long as the official’s agency

complies with the posting provisions set forth in Regulation 18944.1(d). (Regulation 18942(a)(13);

Regulation 18942.3; also see discussion of Form 802 below under “Gifts Exceptions Requiring Alternate

Reporting.”)

9. Event Where Official Makes a Speech. Free admission, and food and nominal items (such as a pen,

pencil, mouse pad, note pad or similar item) available to all attendees, at the event at which the official

makes a speech (as defined in Regulation 18950(b)(2)), so long as the admission is provided by the

person who organizes the event. (Regulation 18942(a)(11).)

10. Attending Wedding Reception. Benefits received as a guest attending a wedding reception where

the benefits are the same as those received by the other guests at the reception. (Regulation

18942(a)(15).)

11. Bereavement Offerings. Bereavement offerings, such as flowers at a funeral received in memory of

a close family member. (Regulation 18942(a)(16).)

12. Acts of Neighborliness. Benefits received as an act of neighborliness such as the loan of an item,

an occasional ride, or help with a repair where the act is consistent with polite behavior in a civilized

society and would not normally be part of an economic transaction between like participants under similar

circumstances. (Regulation 18942(a)(17).)

13. Campaign or Nonprofit Fundraiser. Two tickets for admission, for use by only the official and one

guest, to attend a fundraiser for a campaign committee or candidate, or to a fundraiser for an organization

exempt from taxation under Section 501(c)(3) of the Internal Revenue Code. The ticket(s) must be

received from the organization or committee holding the fundraiser. (Regulation 18946.4.)

14. Unused Passes or Tickets. Passes or tickets that provide admission or access to facilities, goods,

services, or other benefits (either on a one-time or repeated basis) that the public official does not use

and do not give to another person. (Regulation 18946.1.)

15. Items Provided to Government Agency. Subject to certain conditions, items provided to a

government agency and used by public officials in the agency for agency business. This may include

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5. Acts of Human Compassion. Assistance, financial or otherwise, to offset family medical or living

expenses that the official can no longer meet without private assistance because of an accident, illness,

employment loss, death in the family, or other unexpected calamity; or to defray expenses associated

with humanitarian efforts such as the adoption of an orphaned child, so long as the source of the donation

is an individual who has a prior social relationship with the official of the type where it would be common

to provide such assistance, or the payment is made without regard to official status under other

circumstances in which it would be common to receive community outreach. (Regulation 18942

(a)(18)(B).) This exception does not apply if the person providing the benefit to the official is an individual

who otherwise has business before the official as set forth in Regulation 18942(a)(18)(D).

6. Long-Time Friend. Benefits received from a long-time personal friend where the gift is unrelated to the

official’s duties. The exception does not apply if the individual providing the benefit to the official is

involved in some manner with business before the official. (Regulation 18942(a)(18)(C).) This exception

does not apply if the person providing the benefit to the official is an individual who otherwise has

business before the official as set forth in Regulation 18942(a)(18)(D).

7. Existing Personal Relationship. Benefits received from an individual where it is clear that the gift was

made because of an existing personal or business relationship unrelated to the official’s position and

there is no evidence whatsoever at the time the gift is made that the official makes or participates in the

type of governmental decisions that may have a reasonably foreseeable material financial effect on the

individual who would otherwise be the source of the gift. (Regulation 18942(a)(19).)

Very Limited Gift Exception

Reporting

C/I § 87100

Honoraria Ban

$500Gift Limit

Yes - ½ value as gift

Yes

No

Wedding Gifts. Wedding gifts are not subject to the $500 gift limit. However, wedding gifts are

reportable, but for purposes of valuing wedding gifts, one-half of the value of each gift is attributable to

each spouse. (Regulation 18946.3.)

Gift Exceptions Requiring Alternate Reporting

Form 700 Reporting

C/I § 87100

Honoraria Ban

$500 Gift Limit

Yes - As Income

Yes

No

Prize or Award. A prize or award received in a bona fide contest or competition, or game of chance.

Note: Unlike the other exceptions, payments that fall into this exception must be reported as

income if valued at $500 or more. To qualify for this exception the contest or competition must be

unrelated to the official’s duties. (Regulation 18942(a)(14).)

Agency Reports

Reporting

C/I § 87100

Honoraria Ban

$500 Gift Limit

Yes - On 801 or 802

No

The following exceptions are also applicable to payments made to a government agency that are used by

officials in the agency under certain conditions to conduct agency business. These types of payments

are not treated as gifts or income to the officials who use them, so long as the payments meet certain

conditions and they are reported by the officials’ agency. These reports must appear on either a Form

801 or Form 802, instead of the official reporting the items on a statement of economic interests (Form

700).

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Honoraria

What is an “Honorarium”?

An “honorarium” is any payment made in consideration for any speech given, article published, or

attendance at any public or private conference, convention, meeting, social event, meal, or like gathering.

An honorarium includes gift cards or any gift of more than nominal benefit provided in connection with an

activity described above. An honorarium does not include items of nominal value such as a pen, pencil,

note pad, or similar item. (Section 89501; Regulation 18932.4(e).)

A “speech given” means a public address, oration, or other form of oral presentation, including

participation in a panel, seminar, or debate. (Regulation 18931.1.)

An “article published” means a nonfictional written work: 1) that is produced in connection with any activity

other than the practice of a bona fide business, trade, or profession; and 2) that is published in a

periodical, journal, newspaper, newsletter, magazine, pamphlet, or similar publication. (Regulation

18931.2.)

“Attendance” means being present during, making an appearance at, or serving as host or master of

ceremonies for any public or private conference, convention, meeting, social event, meal, or like

gathering. (Regulation 18931.3.)

The Act and Commission regulations provide certain exceptions to the prohibition on honoraria. (Section

89501(b); Regulations 18932 –18933.).

The Prohibition

Local officials specified in Section 87200 (see page 2) are prohibited from receiving any honoraria

payments. Officials and employees of local agencies who file statements of economic interests (Form

700) under the agency’s conflict of interest code (“designated employees”) may not receive honoraria

payments from any source if the employee would be required to report income or gifts from that source on

the Form 700, as outlined in the “disclosure category” portion of the conflict of interest code. (Section

89502.)

Honoraria Exceptions that also apply to gifts and income

1. Returned. An honorarium that the public official returns (unused) to the donor or the donor’s agent or

intermediary within 30 days. (Section 89501(b); Regulation 18933.)

2. Donated to General Fund. An honorarium that is delivered to the official’s local agency within 30 days

for donation to the agency’s general fund and for which the public official does not claim a deduction for

income tax purposes. (Section 89501(b); Regulation 18933.)

3. Made to Nonprofit Organization. A payment that is not delivered to the public official but is made

directly to a bona fide charitable, educational, civic, religious, or similar tax-exempt, non-profit

organization. However:

• The official may not make the donation a condition for his or her speech, article, or attendance;

• The official may not claim the donation as a deduction for income tax purposes;

• The official may not be identified to the non-profit organization in connection with the donation;

and

• The donation may have no reasonably foreseeable financial effect on the public official or on any

member of his or her immediate family. (Regulation 18932.5.)

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4. Payment from Family Member. A payment received from the public official’s spouse, child, parent,

grandparent, grandchild, brother, sister, parent-in-law, brother-in-law, sister-in-law, nephew, niece, aunt,

uncle, or first cousin, or the spouse of any such person. However, a payment that would be considered an

honorarium is prohibited if one of these persons is acting as an agent or intermediary for someone else.

(Regulation 18932.4(b).)

5. Payment for Performance or Book. Payments received for a comedic, dramatic, musical, or other

similar artistic performance, and payments received for the publication of books, plays, or screenplays.

(Regulations 18931.1 and 18931.2.)

6. Reimbursement for Travel Where Official Provides Consideration. Reimbursements for reasonable

travel expenses provided to the public official by a bona fide non-profit, tax-exempt (501(c)(3)) entity for

which the public official provides equal or greater consideration. The payment would also be exempt from

the definition of income under Section 82030(b)(2). (See discussion under “Travel Payments” below.)

Honoraria Exceptions where the payment may still be considered income (or a gift, if

consideration of equal or greater value is not provided by the official)

1. Admission to Event Where Official Gives Speech. Free admission, and refreshments and similar

non-cash nominal benefits, provided to an official during the entire event at which he or she gives a

speech, participates in a panel or provides a similar service, and in-California transportation and

necessary lodging and subsistence provided directly in connection with the speech, panel or service,

including meals and beverages on the day of the activity. (Regulation 18932.4(e).)

2. Earned Income from a Business. Income earned and payments for travel made in connection with

personal services rendered by the official if the services are provided in connection with a bona fide

business, trade, or profession — such as teaching, practicing law, medicine, insurance, real estate,

banking, or building contracting — and the services are customarily provided in connection with the

business, trade, or profession. (Section 89506(d)(3) and Regulations 18950(a) and 18950.2.)

This exception does not apply if the sole or predominant activity of the business, trade, or profession is

making speeches. In addition, the public official must meet certain criteria to establish that he or she is

conducting or in a bona fide business, trade, or profession (such as maintenance of business records,

licensure, proof of teaching position) before a payment received for personal services which may meet

the definition of honorarium would be considered earned income and not an honorarium. (Section

89501(b); Regulations 18932 –18932.3.) Earned income is required to be reported. Contact the FPPC for

detailed information.

3. Travel from a Government Agency. Travel payments provided to the public official by his or her

government agency or by any state, local, or federal government agency which would be considered

income and not a gift. (Section 89506(d)(2).) See discussion under “Travel Payments” below.

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Travel Payments Exceptions

Generally, when an official receives a payment (including reimbursement) for his or her travel, that

payment is a reportable gift or income under the Act. The term “travel payment” includes payments,

advances, or reimbursements for travel, including actual transportation, parking and related lodging and

subsistence. (Section 89506(a).)

If the payment is a gift, it is also normally subject to the Act’s $500 gift limit. If the payment is income, it

may, in some cases, be an honorarium. Whether a payment is a gift or income, the official may be

required to disqualify him or herself from any decision that will have a foreseeable materially financial

effect on the source.

Certain Travel Payments are not a Gift, Income or Honorarium

Reporting

C/I § 87100

Honoraria Ban

$500 Gift Limit

No

The following travel payments are not a gift, income or honorarium under the Act and Commission

regulations and are thus not reportable, potentially disqualifying, or subject to any of the Act’s gift limits or

the honorarium ban.

1. Travel from a Non-Reportable Source. A payment for travel from a source that is not reportable on

the official’s statement of economic interests (Form 700) based on the provisions of the conflict of interest

code of the official’s agency.

2. Travel from Government Agency for Training. A payment for travel from another local, state, or

federal government agency and related per diem expenses when the travel is for education, training or

other inter-agency programs or purposes. (Regulation 18950(a) and (c)(2).)

3. Sharing a Ride with Another Official. A payment for travel provided to the official in a vehicle or

aircraft owned by another official or agency when each official is traveling to or from the same location for

an event as a representative of their respective offices. (Regulation 18950(a) and (c)(3).)

4. Certain Travel from a Government Agency or 501(c)(3). Travel payments provided to the official by

any state, local, or federal government agency as part of the official’s employment with that agency or

provided to the official by a bona fide non-profit, tax-exempt (501(c)(3)) entity for which the official

provides equal or greater consideration. (Section 82030(b)(2).) Any person who claims to have provided

consideration has the burden of proving that the consideration received is of equal or greater value.

5. Travel for Official Agency Business. Certain payments made to an agency to cover the travel

expenses of an employee who travels in the course of carrying out agency business are not gifts to the

official because these payments do not provide a “personal benefit” to the official. For this exception to

apply, the agency must report the payment on a Form 801 and the amount and purpose for using the

payments are restricted by the provisions set forth in Regulation 18950.1.

6. Campaign Contribution. A payment for travel that constitutes a campaign contribution to an official

(Sections 82015, 82028(b)(4); Regulations 18215, 18942(a)(4), 18950(a) and 18950.3(a)), and

permissible expenditures of campaign funds for campaign-related travel (Regulations 18950(a) and

18950.3(b)), provided they comply and are properly reported in accordance with applicable campaign

finance laws.

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FPPC EAED • 046 2-2019 • Page 12 of 14

7. Travel Payments Fulfilling Terms of Contract. Payments made to a governmental entity for travel

expenses that are required to fulfill the terms of a contract. Neither the governmental entity nor the public

official has a reporting obligation because consideration has been provided. (Section 82028; Ratto

Advice Letter, No. I-14-057.)

Certain Travel Payments are Reportable and may Subject the Official to Possible Conflicts of

Interest, but are not Subject to the $500 Gift Limit or Honoraria Ban of the Act.

Reporting

C/I § 87100

Honoraria Ban

$500 Gift Limit

Yes

No

Travel for a Public Purpose Under Section 89506(a). Any payments for actual transportation

expenses and related lodging and subsistence that are made for a purpose reasonably related to: (1) A

legislative or governmental purpose, or (2) An issue of state, national, or international policy so long as

the travel is either

(a) Travel for Speech. In connection with a speech given by the official and the lodging and

subsistence expenses are limited to the day immediately proceeding, the day of, and the day immediately

following the speech and the travel is within the United States, or

(b) Travel paid for by government agency or 501(c)(3) organization. Provided by a government

agency or authority, (including a foreign government), a bona fide public or private educational institution

as defined in Section 203 of the Revenue and Taxation Code, or a nonprofit organization that qualifies

under Section 501(c)(3) of the Internal Revenue Code or a foreign organization that substantially satisfies

the criteria of that section.

These payments are still reportable on the Form 700 and may create a conflict of interest issue for the

official.

Payments for Travel in Connection with a Business

Reporting

C/I § 87100

Honoraria Ban

$500Gift Limit

Yes - as Income

Yes

No

Payments for travel made in connection with personal services rendered by the official if the services are

provided in connection with a bona fide business, trade, or profession — such as teaching, practicing law,

medicine, insurance, real estate, banking, or building contracting — and the services are customarily

provided in connection with the business, trade, or profession. (Section 89506(d)(3) and Regulations

18950(a) and 18950.2.)

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FPPC EAED • 046 2-2019 • Page 13 of 14

Loans

Personal loans received by certain local officials are subject to limits and other restrictions, and in some

circumstances, a personal loan that is not being repaid or is being repaid below certain amounts may

become a gift to the official who received it.

Limitations on Loans from Agency Officials, Consultants, and Contractors

Officials Must Not Receive Loans from Agency Staff. If the public official is a local elected officer or an

official specified in Section 87200 (see page 2), he or she may not receive a personal loan that exceeds

$250 at any given time from an officer, employee, member, or consultant of his or her government agency

or an agency over which his or her agency exercises direction and control. (Section 87460(a) and (b).)

Officials Must Not Receive Loans from Agency Contractors. In addition, the public official may not

receive a personal loan that exceeds $250 at any given time from any individual or entity that has a

contract with his or her government agency or an agency over which his or her agency exercises direction

and control. This limitation does not apply to loans received from banks or other financial institutions, and

retail or credit card transactions, made in the normal course of business on terms available to members of

the public without regard to his or her official status. (Section 87460(c) and (d).)

Loans to Elected Officials Must be in Writing

In addition to the limitations above, if the public official is elected, he or she may not receive a personal

loan of $500 or more unless the loan is made in writing and clearly states the terms of the loan. The loan

document must include the names of the parties to the loan agreement, as well as the date, amount,

interest rate, and term of the loan. The loan document must also include the date or dates when

payments are due and the amount of the payments. (Section 87461.)

The following loans are not subject to these limits and documentation requirements:

1. Campaign Loans. Loans received by an elected officer’s or candidate’s campaign committee.

2. Loans from Family Members. Loans received from the public official’s spouse, child, parent,

grandparent, brother, sister, parent-in-law, brother-in-law, sister-in-law, nephew, niece, aunt, uncle, or first

cousin, or the spouse of any such person unless he or she is acting as an agent or intermediary for

another person not covered by this exemption.

Loans as Gifts

Under the following circumstances, a personal loan received by any public official (elected and other

officials specified in Section 87200, as well as any other local official or employee required to file

statements of economic interests) may become a gift and subject to gift reporting and limitations:

1. If the loan has a defined date or dates for repayment and has not been repaid, the loan will become a

gift when the statute of limitations for filing an action for default has expired.

2. If the loan has no defined date or dates for repayment, the loan will become a gift if it remains unpaid

when one year has elapsed from the later of:

• The date the loan was made;

• The date the last payment of $100 or more was made on the loan; or

• The date upon which the public official have made payments aggregating to less than $250

during the previous 12 months. (Section 87462.)

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FPPC EAED • 046 2-2019 • Page 14 of 14

The following loans will not become gifts:

• A loan made to an elected officer’s or candidate’s campaign committee. This loan would,

however, be a campaign contribution and must be reported accordingly.

• A loan described above on which the creditor has taken reasonable action to collect the balance

due.

• A loan described above on which the creditor, based on reasonable business considerations, has

not undertaken collection action. (However, except in a criminal action, the creditor has the

burden of proving that the decision not to take collection action was based on reasonable

business considerations.)

• A loan made to an official who has filed for bankruptcy and the loan is ultimately discharged in

bankruptcy.

Code of Fair Campaign Practices

Code of Fair Campaign Practices-E.C.§20400 et. seq.

The Code of Fair Campaign Practices is a voluntary form. If you wish to subscribe to it,

fill out the form (download a copy – Attachment A and submit it) include it with your

nomination documents. The basis of this pledge is an acknowledgement by the candidate

to uphold the basic principles of decency, honesty, and fairness in the conduct of an

election campaign.

If the candidate signs and submits the Code, the candidate is pledging that he or she will

follow the rules of conduct as outlined in the Code. The rules of conduct include, but are

not limited to: conducting an open and public campaign; not defaming the character of

any candidate; not using dishonest or unethical practices; not coercing contributions from

employees; upholding the electoral process; identifying candidate and/or committee as

sender of campaign advertising; and providing to the candidate’s opponent and the City

Clerk any campaign advertising or communication which names directly or refers to an

opponent eight (8) days prior to dissemination of the advertising or communication.

All Code of Fair Campaign Practices forms filed by candidates will be available for public

inspection at the City Clerk’s office until 30 days after the election.

Timing for Filing the Code

The Code is filled with, and at the same time, as nomination documents. Any candidate

who does not sign and submit the document with the filing of the nomination

documents shall be deemed to have refused to sign the Code.

Code of Fair Campaign Practices

See enclosed the Code of Fair Campaign Practices, Division 20, Chapter 5, Elections

Code – Attachment B.

Attachment A

1

CALIFORNIA CODE OF FAIR CAMPAIGN PRACTICES

(DIVISION 20, Chapter 5 Election Code.)

Chapter 5.

Fair Campaign Practices

Article 1. General Intent

20400. Intent of legislature

The Legislature declares that the purpose of this chapter is to encourage every

candidate for public office in this state to subscribe to the Code of Fair Campaign

Practices.

It is the ultimate intent of the Legislature that every candidate for public office in

this state who subscribes to the Code of Fair Campaign Practices will follow the basic

principles of decency, honesty, and fair play in order that, after vigorously contested, but

fairly conducted campaigns, the citizens of this state may exercise their constitutional

right to vote, free from dishonest and unethical practices which tend to prevent the full

and free expression of the will of the voters.

The purpose in creating the Code of Fair Campaign Practices is to give voters

guidelines in determining fair play and to encourage candidates to discuss issues instead

of untruths or distortions

Article 2. Definitions

20420. Definition of “Code”

As used in this chapter, "Code" means the Code of Fair Campaign Practices

Article 3. Code of Fair Campaign Practices

20440. Subscription to Code; form

At the time an individual is issued his or her declaration of candidacy, nomination

papers, or any other paper evidencing an intention to be a candidate for public office, the

elections official shall give the individual a blank form of the code and a copy of this

chapter. The elections official shall inform each candidate for public office that

subscription to the code is voluntary.

In the case of a committee making an independent expenditure, as defined in

Section 82031 of the Government Code, the Secretary of State shall provide a blank form

and a copy of this chapter to the individual filing, in accordance with Title 9 (commencing

with Section 81000) of the Government Code, an initial campaign statement on behalf of

the committee.

3

CALIFORNIA ELECTION CODES

CHAPTER 1. ENDORSEMENTS OF CANDIDATES

TRUTH IN ENDORSEMENTS LAW

Candidate Endorsements

2000. Name of chapter

This chapter shall be known and may be cited as the Truth in Endorsements

Law.

20001. Legislature’s findings

The Legislature hereby finds the following to be true:

(1) The major political parties have become an integral part of the American

governmental system requiring regulation as to their structure, governing bodies, and

functions by state government in the public interest.

(2) The Legislature has found it necessary and appropriate in the regulation of

political parties to create and provide for the convening of state conventions, state

central committees, and county central committees for parties qualified by law to

participate in the direct primary election, by statute.

(3) Over the several years preceding the adoption of this section organizations of

electors using as a part of their names the name of a political party qualified to

participate in the direct primary election have endorsed candidates for nomination of

that party for partisan office in the direct primary election and have publicized and

promulgated the endorsements in a manner that has resulted in considerable public

doubt and confusion as to whether the endorsements are those of a private group of

citizens or of an official governing body of a political party.

(4) The voting public is entitled to protection by law from deception in political

campaigns in the same manner and for the same reasons that it is entitled to protection

from deception by advertisers of commercial products.

CAMPAIGN PRACTICES

5

Local jurisdictions have each established ordinances regarding political advertising

and signs. Refer to the “Outdoor Political Advertising Guidelines” section in this guide for

contact information for each of the city code enforcement offices in San Bernardino

County to obtain further information.

20009. Simulation of The Ballot

(a) Every simulated ballot or simulated sample ballot shall bear on each surface or

page thereof, in type or lettering at least half as large as the type or lettering of the

statement or words or in 10-point roman type, whichever is larger, in a printed or drawn

box and set apart from any other printed matter, the following statement:

"NOTICE TO VOTERS"

“(Required by Law) "

“This is not an official ballot or an official sample ballot prepared by the county elections

official or the Secretary of State."

“This is an unofficial, marked ballot prepared by ____ (insert name and address of the

person or organization responsible for preparation thereof)."

Nothing in this section shall be construed to require this notice in any editorial or other

statement appearing in a regularly published newspaper or magazine other than a paid

political advertisement.

(b) No simulated ballot or simulated sample ballot referred to in subdivision (a) shall

bear any official seal or the insignia of any public entity, nor shall that seal or insignia

appear upon the envelope in which it is mailed or otherwise delivered.

(c) The superior court, in any case brought before it by any registered voter, may issue

a temporary or permanent restraining order or injunction against the publication, printing,

circulation, posting, or distribution of any matter in violation of this section, and all cases

of this nature shall be in a preferred position for purposes of trial and appeal, so as to

assure the speedy disposition thereof.

Violations will result in a court injunction. Our office is available to review proposed

ballot simulations.

6

20010. No pictures of candidates in campaign material

(a) Except as provided in subdivision (b), no person, firm, association, corporation,

campaign committee, or organization may, with actual malice, produce, distribute,

publish, or broadcast campaign material that contains (1) a picture or photograph of a

person or persons into which the image of a candidate for public office is superimposed

or (2) a picture or photograph of a candidate for public office into which the image of

another person or persons is superimposed. "Campaign material" includes, but is not

limited to, any printed matter, advertisement in a newspaper or other periodical, television

commercial, or computer image. For purposes of this section, "actual malice" means the

knowledge that the image of a person has been superimposed on a picture or photograph

to create a false representation, or a reckless disregard of whether or not the image of a

person has been superimposed on a picture or photograph to create a false

representation.

(b) A person, firm, association, corporation, campaign committee, or organization

may produce, distribute, publish, or broadcast campaign material that contains a picture

or photograph prohibited by subdivision (a) only if each picture or photograph in the

campaign material includes the following statement in the same point size type as the

largest point size type used elsewhere in the campaign material: "This picture is not an

accurate representation of fact." The statement shall be immediately adjacent to each

picture or photograph prohibited by subdivision (a).

(c) (1) Any registered voter may seek a temporary restraining order and an

injunction prohibiting the publication, distribution, or broadcasting of any campaign

material in violation of this section. Upon filing a petition under this section, the plaintiff

may obtain a temporary restraining order in accordance with Section 527 of the Code of

Civil Procedure. (2) A candidate for public office whose likeness appears in a picture or

photograph prohibited by subdivision (a) may bring a civil action against any person, firm,

association, corporation, campaign committee, or organization that produced, distributed,

published, or broadcast the picture or photograph prohibited by subdivision (a). The court

may award damages in an amount equal to the cost of producing, distributing, publishing,

or broadcasting the campaign material that violated this section, in addition to reasonable

attorney's fees and costs.

(d) (1) This act shall not apply to a holder of a license granted pursuant to the

federal Communications Act of 1934 (47 U.S.C. Sec. 151 et seq.) in the performance of

the functions for which the license is granted.

7

(2) This act shall not apply to the publisher or an employee of a newspaper, magazine,

or other periodical that is published on a regular basis for any material published in that

newspaper, magazine, or other periodical. For purposes of this subdivision, a

"newspaper, magazine, or other periodical that is published on a regular basis" shall not

include any newspaper, magazine, or other periodical that has as its primary purpose the

publication of campaign advertising or communication, as defined by Section 304.

Chapter 2. Political Corporations

Article 1. Incorporation

20100. Candidate’s consent required

If the name of a corporation includes all or part of the name of any person, together

with either (a) all or part of the title of any elective office, (b) the date (by year or otherwise)

of the election for any office, or (c) any other words or figures indicating the candidacy or

nomination of that person for elective office, the Secretary of State shall not accept its

articles of incorporation for filing unless there is first filed with him or her a statement

signed and acknowledged by that person consenting to the use of his or her name.

Chapter 3. Campaign Funds

20200. “Person” definition.

As used in this article "person" includes a firm, association, corporation,

campaign committee or organization.

20201. Solicitation of funds

It is unlawful for any person that includes in any part of its name the name of any

political party that was qualified to participate in the last preceding primary election, to

directly or indirectly solicit funds for any purpose whatsoever upon the representation

either express or implied that the funds are being solicited for the use of that political party

unless that person shall have previously obtained the written consent of one of the

following: a member of the national committee from California or the majority of the

members of the national committee if there are more than two national committee

members from California, chairman of the state central committee, executive committee

of the state central committee, or executive committee of the county central committee of

the party whose name is being used in the county in which the solicitation is to be made.

If the county central committee of the party in that county does not have an executive

committee, the written consent of the chairman and secretary of that county central

committee is sufficient.

All persons soliciting funds in accordance with this section shall be furnished with

adequate credentials bearing the name of the solicitor and a copy of the written consent

that bears the signature of the person authorizing the solicitation.

9

to be a candidate for public office, to provide the candidate a blank form on which to

subscribe to the “Code of Fair Campaign Practices” and a copy of the Elections code

provisions.

Voluntary Subscription

Subscription to the Code is Voluntary. Completed forms are to be filed with the

Registrar of Voters and shall be retained for public inspection until 30 days after the

elections.

CHAPTER 5. FAIR CAMPAIGN PRACTICES

Article 1. General Intent

20400. Intent of legislature

The Legislature declares that the purpose of this chapter is to encourage every

candidate for public office in this state to subscribe to the Code of Fair Campaign

Practices.

It is the ultimate intent of the Legislature that every candidate for public office in

this state who subscribes to the Code of Fair Campaign Practices will follow the basic

principles of decency, honesty, and fair play in order that, after vigorously contested, but

fairly conducted campaigns, the citizens of this state may exercise their constitutional

right to vote, free from dishonest and unethical practices which tend to prevent the full

and free expression of the will of the voters.

The purpose in creating the Code of Fair Campaign Practices is to give voters

guidelines in determining fair play and to encourage candidates to discuss issues instead

of untruths or distortions.

Libel and Slander

20500.

The provisions of Part 2 (commencing with Section 43) of Division 1 of the Civil

Code, relating to libel and slander, are fully applicable to any campaign advertising or

communication.

20501.

(a) A candidate or state measure proponent is liable for any slander or libel

committed by a committee that is controlled by that candidate or state measure proponent

10

as defined by Section 82016 of the Government Code if the candidate or state measure

proponent willfully and knowingly directs or permits the libel or slander.

(b) A person who is a sponsor of a sponsored committee, as defined by Section

82048.7 of the Government Code, is liable for any slander or libel committed by the

sponsored committee if the sponsor willfully and knowingly directs or permits the libel or

slander.

20502.

(a) In any action for libel or slander brought by a candidate, the willingness or

unwillingness of the defendant to retract or correct a communication made in the course

of a campaign, and his or her action in doing so, shall be admissible in evidence in the

exemplary damages phase of a bifurcated trial.

(b) The remedy provided by this section is in addition to any other remedy provided

by law.

CHAPTER 4. Election Campaigns

Article 1. General Intent

18301. Printing of simulated sample ballots

In addition to any other penalty, any person who prints or otherwise duplicates, or

causes to be printed or duplicated, a simulated ballot or simulated sample ballot that does

not contain the statement required by Section 20009 or that uses an official seal or

insignia in violation thereof, is guilty of a misdemeanor.

18302. Distribution of precinct polling place information.

Every person is guilty of a misdemeanor who knowingly causes to be mailed or

distributed, or knowingly mails or distributes, literature to any voter that includes a

designation of the voter's precinct polling place other than a precinct polling place listed

for that voter in an official precinct polling list that constituted the latest official precinct

polling list at sometime not more than 30 days prior to the mailing or distribution.

Article 5. Misrepresentation by Candidates

11

18350. Misleading of voters; incumbency; public officer

Every person is guilty of a misdemeanor who, with intent to mislead the voters in

connection with his or her campaign for nomination or election to a public office or in

connection with the campaign of another person for nomination or election to a public

office, does either of the following acts:

(a) Assume, pretend, or imply, by his or her statements or conduct, that he or she is

the incumbent of a public office when that is not the case.

(b) Assume, pretend, or imply, by his or her statements or conduct that he or she is or

has been acting in the capacity of a public officer when that is not the case.

Any violation of this section may be enjoined in a civil action brought by any candidate

for the public office involved.

Candidate’s Statement of Qualifications E.C. §13307(a)(1) & 13308

Candidate’s Statement for Official Sample Ballot

A candidate’s statement contains the name, age and occupation of the candidate, and a

brief description of the candidate’s education and qualifications as expressed by the

candidate. This statement is printed in the official sample ballot in both English and

Spanish and is provided to all voters. This statement is optional.

Candidate’s Statement Agreement

The law permits nonpartisan candidates to file a candidate’s statement to be mailed with

the sample ballot. Filing of a statement is not mandatory, but is permissive if the

candidate desires to file and pays the appropriate fee.

If a candidate’s statement is not filed, a waiver to that affect on the Candidate’s

Statement Agreement Form must be signed and filed with the declaration of candidacy.

Candidate’s statements are confidential until the filing period ends, at which time they

become public information.

The Candidate Statement Form must be filed regardless of whether or not a

statement is submitted. The candidate’s choice regarding whether or not a

candidate’s statement will be printed in the sample ballot must be indicated. The

candidate must sign this form. (Attachment C)

Cost of Statement

If a candidate elects to submit a statement, the candidate must pay “in advance” for the

cost of including the information in the official sample ballot. The cost is estimated to be

to be determined. If the final cost is less than the estimate, the candidate will be

refunded the difference, but if more than the estimate, the candidate will be requested to

pay the remaining balance. The City Clerk’s Office will accept cash or check made

payable to the “City of Adelanto”. COST FOR THE CANDIDATE’S STATEMENT ARE

PAID AT THE TIME THE NOMINATION PAPERS ARE FILED.

Content

The statement is an opportunity for the candidate to inform the voters about his/her

education and qualifications.

The statement shall be prepared on a form provided by the City Clerk’s Office. A paper

copy must be filed with the declaration of candidacy. It should be TYPED in upper and

lower case, single spaced.

The statement shall not include the party affiliation of the candidate, nor membership or

activity in partisan political organization. If the statement contains the name of an

endorsee, the candidate must submit written approval from that individual to use his/her

name in the statement. When a quote is used, the candidate must provide the original

document in which the quote is used, the candidate must provide the original document

in which the quote was printed or a handwritten statement from the person who was

quoted.

Candidate’s Statement of Qualifications-Pg. 2

In addition, the statement shall not in any way make reference to other candidates for

that office or to another candidate’s qualifications, character, or activities.

Statement authors may be held liable for any false, slanderous, or libelous statements

offered for printing or contained in the voter’s pamphlet.

The City Clerk shall reject any statement which contains any obscene, vulgar, profane,

scandalous, libelous or defamatory matter and any language or matter which is

prohibited through the U.S. Mail.

 THE REGISTRAR OF VOTERS OFFICE WOULD GREATLY APPRECIATE

RECEIVING A ELECTRONIC COPY OF THE STATEMENT. Please provide a

hardcopy and CD or thumb drive (with the “Candidate’s Statement of

Qualifications” form provided) when filing nomination papers.

Candidate Statement Style Guidelines:

(See enclosed format for example – Attachment A & B)

 The statement may include the name, age, and occupation of the candidate a

description of no more than 200 words, of the candidate’s education and

qualifications as expressed by the candidate. The statement is limited to a

recitation of the candidate's own personal background and qualifications, and

shall not in any way make reference to other candidates for that office or to

another candidate’s qualifications, character, or activities. The statement shall

not include the party affiliation of the candidate nor membership or activity in

partisan political organizations. Elections Code 13307(a)(1) and Elections Code

13308.

 The California Elections Code intends uniformity of appearance. Each statement is

allowed the same amount of space in the sample ballot. All statements will be

printed in uniform style and size of type, in block paragraph form (with no

indentations). Outline form is not acceptable.

 It is acceptable for the statement to have four words in bold or underlined or bold

and underlined. Four words may also be in ALL CAPITAL LETTERS or in ANY

combination of bold, underlined and capitalized. The number emphasized words

may not exceed the total number of four per each special characterization. Also

acceptable are four standard bullets or numbered items in the statement. Please see

example for visual reference.

 Statements will be typeset exactly as submitted – the Elections Office (City Clerk’s

Office) will not edit any material contained in the statement for spelling, punctuation,

or grammar, so candidates are therefore advised to carefully check their

statements for such errors. The Elections Office (City Clerk’s Office is authorized

to make corrections only to the format of the statement, or to strike content which

does not adhere to established rules.

 The elections official shall (City Clerk) shall not cause to be printed or circulated any

statement that the elections official determines is not so limited or that includes any

reference prohibited by this section. Elections Code 13308.

Candidate’s Statement of Qualifications-Pg. 3

 Only a Cursory review of the candidate’s statement will be done at the time of filing

to ensure the statement is acceptable in word content and formatting. Corrections

can be made, if necessary, by the candidate at the time of filing.

Candidate Statement Style Guidelines:

(see enclosed format for example – Attachment A & B)

 Each statement is allowed the same amount of space in the sample ballot. Heading

and the NAMES, AGE, and OCCUPATION will be printed in 9 pt. type. Body of the

text will be printed in 8 pt. type. All statements will be printed in uniform size and size

of type, in block paragraph form, Outline form is not acceptable.

 Graphics (pictures, lines, graphs, boxed paragraphs, etc.) and decorative characters

such as arrows, stars, asterisks, bullets, and other symbols are not permitted.

Word Count – E.C.§9

The statement is limited to 200 words or less. Once the statement is submitted, no

editing will be done by the City Clerk’s Office. Statements that exceed 200 words in

length will be shortened by removing words from the end of the statement until the word

limit is reached. It is recommended that care be taken to ensure that the word limit is

not exceeded.

(This section shall not apply to counting words for ballot designations under Section

13107)

The following are the guidelines for computing word count:

The title of the office, name, age and occupation and the signature are not

included in the word count—only the text is counted. Elections Code §9 specifies the

counting of the number of words submitted on any document whose content is limited

by statute. Words shall be counted as follows:

 Punctuation is not counted (free)

Each word shall be counted as one word except as specified in this section:

 All geographical names shall be considered as one word; for example, “City and

County of San Francisco” shall be counted as one word. County of Riverside,

and Desert Hot Springs counted as one word.

 Each abbreviation for a word, phrase or expression shall be counted as one

word. For example: UCLA, U.C.L.A., PTA, USMC, U.S.M.C. counted as one

word.

Candidate’s Statement of Qualifications-Pg. 4

 Hyphenated words that appear in any generally available standard reference

dictionary, published in the United States at any time within the 10 calendar

years immediately preceding the election for which the words are counted, shall be

considered as one word. Each part of all other hyphenated words shall be counted as a

separate word.

 Dates consisting of a combination of words and digits shall be counted as two

words. Dates consisting only of a combination of digits shall be counted as one

word. For example: All digits (5/30/20) is one word. Words and digits May 30,

2020 is two words.

 Any number consisting of a digit or digits shall be considered as one word. Any

number which is spelled, such as “one,” shall be considered as a separate word

or words. “One” shall be counted as one word, whereas “one hundred” shall be

counted as two words. “100” shall be counted as one word.

 Monetary amounts (if the dollar sign is used with figures-$1,000) is one word.

Spelled out (one thousand dollars) is counted as one for each word.

 Website and telephone numbers shall be counted as one word.

 Internet web site addresses shall be counted as one word.

 Limit of four all CAP words

 The Registrar of Voters is not permitted to edit any material contained in candidate

statements. Candidates are responsible for proofreading spelling, punctuation and

grammar. Since the statement cannot be changed after it is submitted, it is

important for candidates to carefully prepare and proofread their statements.

Public Viewing Period

To view candidate statements, occupations (your own as well as other candidates),

during the ten day viewing period. To take action during this time, to reduce errors and

resolve differences BEFORE sample ballots are printed and distributed. California

Elections Code 13313 and E.C. 9295 allows a ten day viewing period of the official

voter’s pamphlet prior to submittal for printing. During this 10 day period, any voter of

the jurisdiction in which the election is being held, may seek a writ of mandate or an

injunction requiring any or all of the material in the voter’s pamphlet to be amended or

deleted.

 Procedure: All candidates will be notified of the importance of viewing their own

sample pamphlet content in it’s typeset form. No changes to what was originally

submitted will be allowed. ONLY TYPESETTING ERRORS WILL BE CORRECTED

during this period. Candidates will be asked to sign-off on the proof that will be

forwarded to the Registrar of Voters. After the viewing period, the Registrar of

Voters office is not responsible for any typesetting errors.

Candidate’s Statement of Qualifications-Pg. 5

VIEWING PERIOD FOR CANDIDATE STATEMENTS & BALLOT DESIGNATIONS

WITH INCUMBENT FILING: August 8, 2020 through August 17, 2020.

NO INCUMBENT FILING: August 13, 2020 through August 22, 2020.

Writ of Mandate-E.C. 13313 (During viewing period)

During the 10-calendar-day public examination period provided by this section, any

voter of the jurisdiction in which the election is being held, or the elections official,

him/her self, may seek a writ of mandate or an injunction requiring any or all of the

material in the candidates statements to be amended or deleted. The writ of mandate

or injunction shall be filed no later than the end of the 10-calendar-day public

examination period. (This is filed by you to the court)

Confidentiality of Statements-E.C. 13311

The statement shall remain confidential on the deadline for filing nomination documents.

The deadline is August 7, 2020, until 12:00 p.m. or August 12, 2020, until close of

business where the nomination period was extended because the incumbent did not

file. The statement will then become a public record.

Withdrawal of Statement – E.C. 13309

The statement may be withdrawn, but not altered, on the first working day following the

close of the nomination period. The statement may be withdrawn on August 10, 2020,

by close of business, or August 13, 2020, by close of business if the nomination period

was extended. (See Attachment D)

False Statements/Fines

The Elections Code Section 18351 provides that “Any candidate in an election…who

knowingly makes a false statement of a material fact in a candidate’s statement,

prepared pursuant to EC §11327 or §13307 with the intent to mislead the voters in

connection with his or her campaign for nomination or election to a nonpartisan office is

punishable by a fine not to exceed $1,000.”

Once the statement has been filed, it may not be changed by the candidate, and

will be subject to editing by the Elections Office (City Clerk’s Office) to bring it

within content, word count, and format requirements. If any statement exceeds

the word limit, the candidate must delete or change a sufficient number of words

to bring the statement within the required word limit before the statement is filed.

If the statement is filed without the correction or deletion by the candidate, the

statement will be cut off at the 200 word limit by the Elections Office (City Clerk’s

Office). Any other unacceptable content will be removed prior to printing.

Candidate’s Statement of Qualifications-Pg. 6

RULES FOR COUNTING WORDS

The following guidelines are computing the count candidate Statements. The titles,

occupation and age are not included in the word count, only the statement text. The

Office of the Registrar of Voters will make final determination. EC § 9

TEXT

WORD COUNT

Punctuation

Free

Dictionary words (“I”. “the”, “and”, “an”, etc

are counted as individual words)

One

Abbreviations/Acronyms (Examples:

SBSU, PTS, U.S.M.C., S.B.P.D.)

One

Geographical name

Examples: San Bernardino

County of San Bernardino

Victor Valley

One

Two

Numbers/Numerical Combinations/E-mail

Addresses:

Digits (1,10, or 100, etc)

Spelled out (one, ten, or one

hundred)’50%, ½, etc.

Telephone numbers

Internet/E-mail address

(Wwwsbcrov.com/jdoe@rov.sbcounty.gov)

One

One for each

word

One

Number of letter used to identify a portion

of text Examples: (1), (a) will be counted

as one word

One

Dates:

All digits (01/01/16)

Words and digits (January 1, 2020)

One

Two

Characters used in place of word or

number (& or #)

One

Hyphenated words that appear in any

generally available dictionary, printed in

the United States within the past 10 years,

shall be considered as one word. Each

part of all other hyphenated words

Examples: Mother-in-law

One-half

One

Two

If the text exceeds the word limit, the candidate must delete or change a sufficient

number of words, or a sentence, to put the statement within the required word

limit before the statement is filed.

ATTACHMENT A

Example of Acceptable Candidate Statement Format

CANDIDATE FOR EXAMPLE OFFICE

SAMPLE DISTRICT

NAME: PAT DOE Age: 66

OCCUPATION: Fortune Teller/Comedian

FORMAT/CONTENT: This is an example of acceptable format to be used in a candidate’s statement of

qualifications. The guidelines for the content of the statement are on the preceding page.

PARAGRAPHS: The candidate statement is printed in standard block paragraph form, which means

each paragraph will start on the left and the margins will be justified (as shown in this example.). No

indentations are allowed. If a list is to be printed (clubs, accomplishments, goals, etc.) it will appear as

shown in the following paragraph (numbering is optional and will be counted towards word count if

used).

I belong to the following organizations: PTA; Chamber of Commerce; Zoological Society; Bridge Club. If

elected, I will: 1) lower taxes; 2) increase services; 3) cure the common cold; 4) be your servant.

The Registrar of Voters will make necessary modifications to make the statement conform to these

guidelines as well as to fit in the apace allotted.

ATTACHMENT B

Examples

UNACCEPTABLE

CANDIDATE FOR MEMBER OF THE STATE ASSEMBLY

99

TH

DISTRICT

NAME: John Jones Age: 50

OCCUPATION: Businessman

As your Assemblyman, I would be proud to serve the 99

th

Assembly District for the next two years. I

promise to use my experience to improve the quality of life for the residents of our district.

For the past four years our district’s assemblyman has failed to fulfill the promises he made when elected

to office. Instead of dealing with our resident’s concerns and promoting our district to potential businesses,

he has been pandering to the whims of his campaign financers and party “big wigs”.

It is now up to district citizens to run for office and provide a free uncompromised voice for the 99

th

Assembly District.

I have been a businessman in the district for 25 years, on the city council for two terms as well as a school

board member between 1995-1999 for Pine Tree School District.

I have been married for 28 years and have two grown children – one a senior in college and the other in the

Peace Corps.

If elected as Assembly for the 99

th

District I will strive to ensure public safety, provide our children with a

decent education and entice businesses back to the area to increase our tax base. I feel qualified to

represent our residents and the district and ask that you support me with your vote on June 3

rd

.

Acceptable

CANDIDATE FOR MEMBER OF THE STATE ASSEMBLY

99

TH

DISTRICT

NAME: John Jones

OCCUPATION: Business Owner AGE: 50

As your Assemblyman, I would be proud to serve the 99

th

Assembly District for the next two years. I

promise to use my experience to improve the quality of life for the residents of our district.

I have been a businessman in the district for 25 years, on the city council for two terms as well as a school

board member between 1995-1999 for Pine Tree School District.

I have been married for 28 years and have two grown Children – one a senior in college and the other in the

Peace Corps.

If elected as Assembly for the 99

th

District I will strive to ensure public safety, provide our children with a

decent education and entice businesses back to the area to increase our tax base. I feel qualified to

represent our residents and the district and ask that you support me with your vote on June 3

rd

.

Candidate Statement Form

2020 Presidential General Election

November 3, 2020

Name of Candidate as it will appear on ballot

Office Sought

Mailing Address

City

State

Zip

Residence Phone

Cell Phone

Email Address

I ELECT TO FILE A CANDIDATE STATEMENT

 I have read the Candidate Statement section(s) of the Registrar of Voters Candidate Filing Guide for this election, and

affirm that my candidate statement as submitted on this form complies with California Elections Code and Registrar of

Voters policy.

 I have been informed that the estimated cost and deposit for my candidate statement is $ ___________ .

 I agree that if the actual cost of the candidate statement exceeds the amount paid in advance, I will pay the additional

sum to the County of San Bernardino within 30 days of the billing notification for such amount.

 I agree that if the amount billed is not paid within 30 days following such notification, and the Elections Official thereafter

commences legal action against me for the recovery of said amount, I will pay all costs of such action, including costs and

reasonable attorney's fees in an amount to be fixed by the court.

 I have been informed that if the amount paid in advance is more than the actual cost of the candidate statement, the

Elections Official will refund the excess amount within 30 days of the election.

 I agree that any notice, refund or billing pertaining to my candidate statement shall be mailed to me at the address set

forth above and shall be deemed completed upon deposit in the United States mail.

 I have been informed that State Senate and State Assembly candidates are required to accept the voluntary campaign

expenditure limits on FPPC form 501 in order to have a candidate statement printed in the San Bernardino County Voter

Information Guide.

 I have been informed that I may withdraw my candidate statement no later than 5:00 p.m. of the next working day after

the close of the candidate filing (nomination) period.

 I understand that my candidate statement will be translated and printed in Spanish. When translating my candidate

statement in Spanish, I request that the Registrar of Voters (check only one option below):

 ☐ Translate my statement using female nouns and pronouns, or

 ☐ Translate my statement using male nouns and pronouns.

Signature of Candidate

Date:

Return signed Candidate Statement Forms along with your candidate statement deposit:

 By Mail or In Person:

 San Bernardino County Registrar of Voters, 777 E. Rialto Ave, San Bernardino, CA 92415

 By Email & Phone:

 Scan your signed Candidate Statement Form and email to communications@sbcountyelections.com, and

 Call the Registrar of Voters at 909-387-8300 to pay your candidate statement deposit by credit card.

To receive assistance with completing and returning this form, please email us at communications@sbcountyelections.com

and attach the electronic copy (.docx or .doc) of your candidate statement. Registrar of Voters staff will contact you to schedule

an appointment with a Candidate Filing Clerk.

CANDIDATE NAME: Age:

Occupation:

FILED

Word Count:

I affirm that I want my candidate statement

printed in the Voter Information Guide.

Signature of Candidate

Candidate Statement Form

Decline to File

2020 Presidential General Election

Name of Candidate as it will appear on ballot

Office Sought

Mailing Address

City

State

CA

Zip

I DO NOT ELECT TO FILE A CANDIDATE STATEMENT

Signature of Candidate

Date

Presidential General Election

November 3, 2020

San Bernardino County

Rules Governing Candidate Statements

Candidate Statement

A candidate statement is a written statement provided by the candidate that is printed in either

the state or county Voter Information Guide.

Candidates who elect to have a statement printed in the Voter Information Guide are required to

pay the estimated costs of including their candidate statement in the Voter Information Guide at

the time of filing. The actual costs of inclusion will be determined after the election, and

participating candidates will either receive a refund or be responsible for paying additional costs

at that time.

Estimated costs for candidate statements are calculated by district per registered voter. Payments

are accepted in the form of cash, personal check, cashier’s check and money order, or credit card.

Listed in Appendix Q are the estimated costs for candidate statements by district for this election.

Composing / Submitting a Candidate Statement

All candidates, regardless of whether or not they choose to publish a Candidate Statement, are

required to complete and file a Candidate Statement Form. On this form, candidates will

indicate whether or not they elect to file a candidate statement, and will submit the printed text

of the statement if they choose to file one.

• Prior to composing their candidate statement, candidates should review the candidate

statement rules and regulations below.

• Candidates may fill out the Candidate Statement Form prior to filing and then bring the

statement with them when they file. The form can be accessed on the Registrar of Voters

website at http://www.sbcountyelections.com.

Prior to publication, candidate statements are available for public examination for 10 days

beginning immediately following the filing deadline. During the public examination period, the

Registrar of Voters or any voter of the jurisdiction may seek a writ of mandate or an injunction

requiring that any or all material in the candidate statement be amended or deleted (Cal. Elec.

Code §13313(b)).

In addition to seeking a writ of mandate or an injunction, the Registrar of Voters may strike any

language not in compliance with California Elections Code.

Candidate Statement Composition

California Elections Code §13307, §13307.5 and §13307 dictate the rules relating to the

composition of candidate statements.

Candidate Statements for County, City, School District and Special District Offices

California Elections Code §13307 dictates that candidate statements shall be a brief

description of no more than two-hundred words, shall be printed in type of uniform size and

darkness, and with uniform spacing. Jurisdictions may increase the maximum number of

words allowed, up to four-hundred.

The Registrar of Voters interprets this to mean that candidate statements shall be typed in

upper and lower case letters when appropriate, and not all capital letters. Additionally,

candidate statements shall be free from non-standard or atypical spacing, and shall not

contain any italicized or bolded letters.

California Elections Code §13307 dictates that candidate statements shall be a brief

description that expresses the candidate’s education and qualifications, and shall not include

party affiliation of the candidate, nor membership or activity in partisan political

organizations. Nothing in the candidate’s statement shall be deemed to make any such

statement or the authors thereof free or exempt from any civil or criminal action or penalty

because of any false, slanderous or libelous statements.

California Elections Code §13308 requires that statements shall be limited to a recitation of

the candidate's own personal background and qualifications. Statements shall not in any way

make reference to other candidates for that office or to another candidate's qualifications,

character, or activities. The election official shall not cause to be printed or circulated any

statement that the election official determines is not so limited, or that includes any reference

prohibited by this section.

It is the policy of the San Bernardino County Registrar of Voters that a candidate’s

background may include details regarding the candidate’s platform. A candidate’s platform

describes what they stand for and what they intend to do if they are elected.

It is the policy of the San Bernardino County Registrar of Voters that if a candidate statement

is determined to not be in compliance with the Elections Code, the Registrar of Voters may:

1. Strike any language not in compliance;

2. May not print or circulate the statement; or

3. May seek a writ of mandate or an injunction, requiring that the candidate statement be

amended or deleted.

It is the policy of the Registrar of Voters that the candidate be fully responsible for ensuring

that all spelling, punctuation, and grammar in a Candidate Statement is correct and free from

errors. The Registrar of Voters is not responsible for proofreading for spelling, punctuation,

and grammatical errors. Only a cursory review of the candidate’s statement will be done at

the time of filing to ensure that the statement is acceptable.

It is the policy of the Registrar of Voters that, in order for a candidate statement to be printed

in the Voter Information Guide, candidate statements must fit inside a half page square that

measures 4.79” wide by 3.14” tall, and must be printed in size 8 Arial font.

In computing the word count of a candidate statement, it is important for candidates to keep

in mind that only the text of the statement is included in the calculation of the word count.

The title of the candidate statement, which includes the candidate’s name, age, and

occupation, does not affect the word count for a statement. Examples for counting words

within a candidate statement are provided :

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