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COVER PAGERecipient CommitteeCampaign StatementCover PageDate Stamp(Government Code Sections 84200-84216.5)Statement covers periodSEE INSTRUCTIONS ON REVERSE1. Type of Recipient Committee:from07/01/2017through12/31/2017Date of election if applicable:(Month, Day, Year)(Also Complete Part 5)Page1460of19For Official Use Only06/05/20182. Type of Statement:Primarily Formed Ballot MeasureCommitteeControlledSponsoredX(Also Complete Part 6)General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central CommitteeE-Filed01/02/201817:14:35Filing ID:167386634All Committees – Complete Parts 1, 2, 3, and 4.X Officeholder, Candidate Controlled CommitteeState Candidate Election CommitteeRecallCALIFORNIAFORMPreelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)Quarterly StatementSpecial Odd-Year ReportSupplemental PreelectionStatement - Attach Form 495Amendment (Explain below)Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)I.D. NUMBER3. Committee InformationTreasurer(s)1396410COMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)NAME OF TREASURERCommittee to Re-elect Dan Miller, Supervisor, 2018Linda BennettMAILING ADDRESSSTREET ADDRESS (NO P.O. BOX)CITYGrass ValleyCITYSTATEGrass ValleyCAZIP CODE95945STATEZIP CODEZIP CODECA95945STATEZIP CODEAREA CODE/PHONE(530)273-2644NAME OF ASSISTANT TREASURER, IF ANYAREA CODE/PHONE(530)477-7572MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOXCITYSTATEMAILING ADDRESSAREA CODE/PHONECITYOPTIONAL: FAX / E-MAIL ADDRESSAREA CODE/PHONEOPTIONAL: FAX / E-MAIL ADDRESSpingramspencer@yahoo.com4. VerificationI have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.Executed on01/02/2018Executed on01/02/2018Executed onExecuted onwww.netfile.comDateDateDateDateByLinda BennettByDan MillerByBySignature of Treasurer or Assistant TreasurerSignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of SponsorSignature of Controlling Officeholder, Candidate, State Measure ProponentSignature of Controlling Officeholder, Candidate, State Measure ProponentFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
COVER PAGE - PART 2Recipient CommitteeCampaign StatementCover Page — Part 2460CALIFORNIAFORMPage2of196. Primarily Formed Ballot Measure Committee5. Officeholder or Candidate Controlled CommitteeNAME OF BALLOT MEASURENAME OF OFFICEHOLDER OR CANDIDATEDan MillerNevada CountyJURISDICTIONBALLOT NO. OR LETTEROFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)SUPPORTOPPOSEDistrict 3RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET)CITYSTATEZIPCA95945Identify the controlling officeholder, candidate, or state measure proponent, if any.Grass ValleyRelated Committees Not Included in this Statement:List any committeesnot included in this statement that are controlled by you or are primarily formed to receivecontributions or make expenditures on behalf of your candidacy.COMMITTEE NAMEI.D. NUMBERNAME OF TREASURERCONTROLLED COMMITTEE?YESCOMMITTEE ADDRESSCITYCOMMITTEE NAMEZIP CODEAREA CODE/PHONEI.D. NUMBERCONTROLLED COMMITTEE?NAME OF TREASURERYESCOMMITTEE ADDRESSCITYwww.netfile.comOFFICE SOUGHT OR HELDDISTRICT NO. IF ANY7. Primarily Formed Candidate/Officeholder CommitteeList names ofofficeholder(s) or candidate(s) for which this committee is primarily formed.NOSTREET ADDRESS (NO P.O. BOX)STATENAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENTNAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDNAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDNAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR HELDNAME OF OFFICEHOLDER OR CANDIDATEOFFICE SOUGHT OR RTOPPOSESTREET ADDRESS (NO P.O. BOX)STATEZIP CODEAREA CODE/PHONEAttach continuation sheets if necessaryFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Campaign Disclosure StatementSummary PageSUMMARY PAGEAmounts may be roundedto whole dollars.SEE INSTRUCTIONS ON REVERSEStatement covers MPage3ofNAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410Contributions Received1. Monetary Contributions .Schedule A, Line 32. Loans Received .Schedule B, Line 33. SUBTOTAL CASH CONTRIBUTIONS .4. Nonmonetary Contributions .Add Lines 1 2 Column BCALENDAR YEARTOTAL TO DATE16,250.00 0.00 16,250.0021,577.00 21,577.000.00Schedule E, Line 47. Loans Made .Schedule H, Line 38. SUBTOTAL CASH PAYMENTS .Add Lines 6 7 11,599.00 12,509.00Expenditure Limit Summary for StateCandidates0.00 11,599.000.00 0.00 11,599.00 4,417.00 12,509.00Current Cash Statement15. Cash Payments .16. ENDING CASH BALANCE .16,250.00Column A, Line 3 aboveSchedule I, Line 40.00Column A, Line 8 above11,599.00 9,068.00 0.00See instructions on reverse 0.00Add Line 2 Line 9 in Column B above 0.00Add Lines 12 13 14, then subtract Line 15If this is a termination statement, Line 16 must be zero.17. LOAN GUARANTEES RECEIVED .Schedule B, Part 2Cash Equivalents and Outstanding Debts18. Cash Equivalents .19. Outstanding Debts .www.netfile.com22. Cumulative Expenditures Made*12,509.000.0014. Miscellaneous Increases to Cash . 21,577.0010. Nonmonetary Adjustment . Schedule C, Line 3Previous Summary Page, Line 16 0.0013. Cash Receipts .20. ContributionsReceived 16,250.000.0012. Beginning Cash Balance .7/1 to Date 9. Accrued Expenses (Unpaid Bills) . Schedule F, Line 311. TOTAL EXPENDITURES MADE . Add Lines 8 9 101/1 through 6/3021. ExpendituresMade Expenditures Made6. Payments Made .To calculate Column B, addamounts in Column A to thecorresponding amountsfrom Column B of your lastreport. Some amounts inColumn A may be negativefigures that should besubtracted from previousperiod amounts. If this isthe first report being filedfor this calendar year, onlycarry over the amountsfrom Lines 2, 7, and 9 (ifany).19Calendar Year Summary for CandidatesRunning in Both the State Primary andGeneral Elections0.000.00Schedule C, Line 35. TOTAL CONTRIBUTIONS RECEIVED . Add Lines 3 4Column ATOTAL THIS PERIOD(FROM ATTACHED SCHEDULES)460(If Subject to Voluntary Expenditure Limit)Date of Election(mm/dd/yy)Total to Date// // *Amounts in this section may be different from amountsreported in Column B.FPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule AMonetary Contributions ReceivedAmounts may be roundedto whole dollars.SEE INSTRUCTIONS ON REVERSESCHEDULE AStatement covers 7PageNAME OF FILERof19I.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 2018DATERECEIVED44601396410FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)PER ELECTIONTO DATE(IF REQUIRED)07/07/2017Richard AltenbachGrass Valley, CA 95945X INDCOMOTHPTYSCCMusicianSelf100.00100.00 P2018 100.0007/07/2017Peter and Nancy BrostNevada City, CA 95959X INDCOMOTHPTYSCCRetiredRetired100.00100.00 P2018 100.0007/07/2017Robert IngramGrass Valley, CAX INDCOMOTHPTYSCCRetiredRetired100.00200.00 P2018 200.0007/07/2017Hank and Kandy WestonPenn Valley, CA 95946X INDCOMOTHPTYSCCCounty SupervisorNevada County200.00200.00 P2018 200.0007/07/2017Dale WiermanDavis, CA 95618X INDCOMOTHPTYSCCForesterRetired100.00100.00 P2018 100.0095945SUBTOTAL 600.00Schedule A Summary*Contributor Codes1. Amount received this period – itemized monetary contributions.(Include all Schedule A subtotals.) . 15,822.002. Amount received this period – unitemized monetary contributions of less than 100 . 428.003. Total monetary contributions received this period.(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) . TOTAL 16,250.00www.netfile.comIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor CommitteeFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page5ofNAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)46019PER ELECTIONTO DATE(IF REQUIRED)07/13/2017Larry and Susan IngersollGrass Valley, CA 95945X INDCOMOTHPTYSCCBranch managerPlacer Title Company100.00100.00 P2018 100.0007/20/2017Maudie WalkerGrass Valley, CAX INDCOMOTHPTYSCCRetiredRetired100.00100.00 P2018 100.0007/26/2017Richard FuxjagerNevada City, CA 95959X INDCOMOTHPTYSCCEvent PlannerSelf200.00200.00 P2018 200.0008/01/2017Alpine Portable Storage Containers LLCGrass Valley, CA 95945INDCOMX OTHPTYSCC100.00100.00 P2018 100.0008/01/2017Randy and Debbe BlakemoreGrass Valley, CA 95949X INDCOMOTHPTYSCC100.00100.00 P2018 100.0095945OwnersAlpine Portable StorageContainers LLCSUBTOTAL 600.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page6ofNAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)08/02/2017E. Christina Dabis-ApplebyGrass Valley, CA 95945X INDCOMOTHPTYSCCRetiredRetired08/02/2017Thomas O'TooleGrass Valley, CAX INDCOMOTHPTYSCCOwnerPacific Bancnote08/03/2017Jerry and Irene HallGrass Valley, CA 95945X INDCOMOTHPTYSCC08/11/2017Norma MooreGrass Valley, CA9594508/17/2017Pete ChristensenGrass Valley, CA9594595949AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)46019PER ELECTIONTO DATE(IF REQUIRED)250.00250.00 P2018 250.0099.00124.00 P2018 124.00RetiredRetired100.00100.00 P2018 100.00X INDCOMOTHPTYSCCTherapistSelf100.00100.00 P2018 100.00X INDCOMOTHPTYSCCRetiredRetired250.00250.00 P2018 250.00SUBTOTAL 799.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page7ofNAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *08/17/2017Chris EvansGrass Valley, CA08/21/2017IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)46019PER ELECTIONTO DATE(IF REQUIRED)X INDCOMOTHPTYSCCRetiredRetired100.00100.00 P2018 100.00Gilbert and Kathy MathewGrass Valley, CA 95949X .00 P2018 100.0009/13/2017Terence and Elizabeth McAteerGrass Valley, CA 95945X INDCOMOTHPTYSCCRetiredRetired200.00200.00 P2018 200.0009/13/2017Greg and Marilyn PetersPenn Valley, CA 95946X INDCOMOTHPTYSCCWell drillingSelf500.00500.00 P2018 500.0009/19/2017Georgann RussellNevada City, CA 95959X INDCOMOTHPTYSCCReal Estate and BusinessConsultantG. Russell Enterprises,LTD500.00500.00 P2018 500.0095945SUBTOTAL 1,400.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page8ofNAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *09/20/2017Greg and Conni FowlerNevada City, CA 95959X INDCOMOTHPTYSCC09/20/2017Dan MillerGrass Valley, CA09/21/2017IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)19PER ELECTIONTO DATE(IF REQUIRED)150.00150.00 P2018 150.00X INDCOMOTHPTYSCC200.00200.00 P2018 200.00Nelson Rental PropertiesGrass Valley, CA 95945INDCOMX OTHPTYSCC250.00250.00 P2018 250.0009/26/2017James EckardtNevada City, CAX INDCOMOTHPTYSCCCatererSelf-employed200.00200.00 P2018 200.0009/28/2017Norma BuichGrass Valley, CAX INDCOMOTHPTYSCCStaffCirino's Bloody Mary Mixplant500.00500.00 P2018 500.00959459595995945Business OwnerB & C Home CenterAMOUNTRECEIVED THISPERIOD460SUBTOTAL 1,300.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page9ofNAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *09/28/2017Jerry CirinoGrass Valley, CA09/28/2017Dale CreightonNevada City, CA09/28/2017Eduardo GarciaGrass Valley, CA9594909/28/2017Donna ImsandGrass Valley, CA9594509/28/2017Lisa LandersGrass Valley, CA959459594595959IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)46019PER ELECTIONTO DATE(IF REQUIRED)X INDCOMOTHPTYSCCRestaurant ownerBusiness owner500.00500.00 P2018 500.00X INDCOMOTHPTYSCCEngineerBusiness owner SCOPlanning and Engineering198.00198.00 P2018 198.00X INDCOMOTHPTYSCCRetiredRetired250.00250.00 P2018 250.00X INDCOMOTHPTYSCCStaffCirino's Bloody Mary Mixplant500.00500.00 P2018 500.00X INDCOMOTHPTYSCCStaffCirino's Bloody Mary Mixplant500.00500.00 P2018 500.00SUBTOTAL 1,948.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page10NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)09/28/2017Robert and Julie MedlynGrass Valley, CA 95945X INDCOMOTHPTYSCCBeam CenterBusiness owner09/28/2017Mike Bratton State Farm InsuranceGrass Valley, CA 95945INDCOMX OTHPTYSCC09/28/2017George and JoAnn RebaneNevada City, CA 95959X INDCOMOTHPTYSCCRetiredRetired09/28/2017Daniel and Erin SwartzendruberGrass Valley, CA 95945X INDCOMOTHPTYSCC09/28/2017Edward and Kay WalkerGrass Valley, CA 95945X INDCOMOTHPTYSCCAMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)of46019PER ELECTIONTO DATE(IF REQUIRED)500.00500.00 P2018 500.00500.00500.00 P2018 500.001,000.001,000.00 P2018 1,000.00General ContracterBusiness owner250.00250.00 P2018 250.00Business PartnerRobinson Enterprises500.00500.00 P2018 500.00SUBTOTAL 2,750.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page11NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)of46019PER ELECTIONTO DATE(IF REQUIRED)10/04/2017Joseph and Shirley GriggsNevada City, CA 95959X INDCOMOTHPTYSCCRetiredRetired200.00200.00 P2018 200.0010/06/2017Ric and Frances SheridanGrass Valley, CA 95945X INDCOMOTHPTYSCCRetiredRetired100.00100.00 P2018 100.0010/12/2017Andy OwensGrass Valley, CAX INDCOMOTHPTYSCCRetiredRetired250.00250.00 P2018 250.009594510/30/2017Roxanne MillerGrass Valley, CAX INDCOMOTHPTYSCCRetiredRetired300.00300.00 P2018 300.009594511/03/2017Mimi SimmonsNevada City, CAX INDCOMOTHPTYSCCReal Estate BrokerSelf250.00250.00 P2018 250.0095959SUBTOTAL 1,100.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page12NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *11/03/2017Randy YoungNevada City, CA11/08/2017IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)of46019PER ELECTIONTO DATE(IF REQUIRED)X INDCOMOTHPTYSCCRetiredRetired250.00250.00 P2018 250.00Samuel and Susan AanestadPenn Valley, CA 95946X INDCOMOTHPTYSCCState Senator and oralsurgeon nurseRetired100.00100.00 P2018 100.0011/08/2017Peter BrowneGrass Valley, CAX INDCOMOTHPTYSCCAttorneySelf200.00299.00 P2018 299.009594511/10/2017Walt AbbeyGrass Valley, CAX INDCOMOTHPTYSCCPhysical TherapistBusiness Owner100.00100.00 P2018 100.009594511/10/2017Byers Enterprises, Inc.Grass Valley, CA 95945750.00750.00 P2018 750.0095959INDCOMX OTHPTYSCCSUBTOTAL 1,400.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page13NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *11/10/2017Robert IngramGrass Valley, CA11/10/2017Kane's RestaurantGrass Valley, CA 95945INDCOMX OTHPTYSCC11/11/2017Thomas O'TooleGrass Valley, CAX INDCOMOTHPTYSCC11/27/2017Ernie's Van & StorageGrass Valley, CA 95945INDCOMX OTHPTYSCC11/27/2017Charlene HalbyGrass Valley, CAX INDCOMOTHPTYSCC959459594995945X INDCOMOTHPTYSCCIF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)RetiredRetiredOwnerPacific BancnoteBusiness OwnerThe Halby Group InsuranceAgencySUBTOTAL AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)of46019PER ELECTIONTO DATE(IF REQUIRED)100.00200.00 P2018 200.00250.00250.00 P2018 250.0025.00124.00 P2018 124.00250.00450.00 P2018 450.00100.00100.00 P2018 100.00725.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page14NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *11/27/2017Lura JamesGrass Valley, CA9594511/27/2017Kathleen KeeferGrass Valley, CA9594511/27/2017Darwin LeekGrass Valley, CA9594511/27/2017Nevada County Contractors Assc PoliticalAction CommitteeGrass Valley, CA 95945INDCOMX OTHPTYSCC11/27/2017Charles PhelpsGrass Valley, CAX INDCOMOTHPTYSCC95949IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)of46019PER ELECTIONTO DATE(IF REQUIRED)X INDCOMOTHPTYSCCRetired nurseRetired100.00100.00 P2018 100.00X INDCOMOTHPTYSCCRetired paralegalRetired100.00100.00 P2018 100.00X INDCOMOTHPTYSCCChiropractorChiropractic Plus100.00100.00 P2018 100.002,000.002,000.00 P2018 2,000.00250.00250.00 P2018 250.00RetiredRetiredSUBTOTAL 2,550.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
Schedule A (Continuation Sheet)Monetary Contributions ReceivedSCHEDULE A (CONT.)Amounts may be roundedto whole dollars.Statement covers 7Page15NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410DATERECEIVEDFULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR(IF COMMITTEE, ALSO ENTER I.D. NUMBER)CODE *11/27/2017Chauncey PostonGrass Valley, CA11/27/2017Scott RobertsonNevada City, CA9595911/27/2017W WhiteNevada City, CA9595912/04/2017Joseph LiszakGrass Valley, CA9594512/12/2017Simply HairGrass Valley, CA9594595945IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER(IF SELF-EMPLOYED, ENTER NAMEOF BUSINESS)AMOUNTRECEIVED THISPERIODCUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)of46019PER ELECTIONTO DATE(IF REQUIRED)X INDCOMOTHPTYSCCReal Estate BrokerSelf100.00100.00 P2018 100.00X INDCOMOTHPTYSCCCPARobertson, Woodford, andSummers, LLP, CPAs200.00200.00 P2018 200.00X INDCOMOTHPTYSCCRetiredRetired150.00150.00 P2018 150.00X INDCOMOTHPTYSCCRetired Field ServiceEngineerRetired100.00100.00 P2018 100.00100.00100.00 P2018 100.00INDCOMX OTHPTYSCCSUBTOTAL 650.00*Contributor CodesIND – IndividualCOM – Recipient Committee(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committeewww.netfile.comFPPC Form 460 (Jan/2016)FPPC Advice: advice@fppc.ca.gov (866/275-3772)www.fppc.ca.gov
SCHEDULE ESchedule EPayments MadeStatement covers periodAmounts may be roundedto whole dollars.SEE INSTRUCTIONS ON 17Page16NAME OF FILERI.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410of46019CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CMPCNSCTBCVCFILFNDINDLEGLITcampaign paraphernalia/misc.campaign consultantscontribution (explain nonmonetary)*civic donationscandidate filing/ballot feesfundraising eventsindependent expenditure supporting/opposing others (explain)*legal defensecampaign literature and mailingsNAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)MBRMTGOFCPETPHOPOLPOSPROPRTmember communicationsmeetings and appearancesoffice expensespetition circulatingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print adsCODEORRADRFDSALTELTRCTRSTSFVOTWEBradio airtime and production costsreturned contributionscampaign workers’ salariest.v. or cable airtime and production costscandidate travel, lodging, and mealsstaff/spouse travel, lodging, and mealstransfer between committees of the same candidate/sponsorvoter registrationinformation technology costs (internet, e-mail)DESCRIPTION OF PAYMENTAMOUNT PAIDDauntless CommunicationsRoseville, CA 95678CNSConsulting FeesUnited States Postal ServiceGrass Valley, CA 95945POSStamps98.00Dauntless CommunicationsRoseville, CA 95678CNSConsulting fees50.00*Payments that are contributions or independent expenditures must also be summarized on Schedule D.1,500.00SUBTOTAL 1,648.00Schedule E Summary1. Itemized payments made this period. (Include all Schedule E subtotals.) . 11,395.692. Unitemized payments made this period of under 100 . 203.313. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e).) . 0.004. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) . TOTAL 11,599.00www.netfile.comFPPC Form 460 (Jan/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)www.fppc.ca.gov
Schedule E(Continuation Sheet)Payments MadeSCHEDULE E (CONT.)Statement covers periodAmounts may be roundedto whole dollars.SEE INSTRUCTIONS ON REVERSENAME OF Page17460of19I.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.CMPCNSCTBCVCFILFNDINDLEGLITcampaign paraphernalia/misc.campaign consultantscontribution (explain nonmonetary)*civic donationscandidate filing/ballot feesfundraising eventsindependent expenditure supporting/opposing others (explain)*legal defensecampaign literature and mailingsNAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)MBRMTGOFCPETPHOPOLPOSPROPRTmember communicationsmeetings and appearancesoffice expensespetition circulatingphone bankspolling and survey researchpostage, delivery and messenger servicesprofessional services (legal, accounting)print adsCODEORRADRFDSALTELTRCTRSTSFVOTWEBradio airtime and production costsreturned contributionscampaign workers’ salariest.v. or cable airtime and production costscandidate travel, lodging, and mealsstaff/spouse travel, lodging, and mealstransfer between committees of the same candidate/sponsorvoter registrationinformation technology costs (internet, e-mail)DESCRIPTION OF PAYMENTAMOUNT PAIDHouse of Print and CopyGrass Valley, CA 95945CMPStationery/invitationsReal GraphicGrass Valley, CACMPCampaign T-shirts536.4995945Real GraphicGrass Valley, CACMPCampaign T-shirts42.9295945CNSConsulting feesDauntless CommunicationsRoseville, CA 95678Patti Ingram SpencerGrass Valley, CA 95945* Payments that are contributions or independent expenditures must also be summarized on Schedule D.www.netfile.com64.801,050.00Reimbursements for campaign costs incurred614.19SUBTOTAL 2,308.40FPPC Form 460 (Jan/2016)FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)www.fppc.ca.gov
Schedule E(Continuation Sheet)Payments MadeSCHEDULE E (CONT.)Statement covers periodAmounts may be roundedto whole dollars.SEE INSTRUCTIONS ON REVERSENAME OF Page18460of19I.D. NUMBERCommittee to Re-elect Dan Miller, Supervisor, 20181396410CODES
07/20/2017 Maudie Walker Grass Valley, CA 95945 X Retired Retired 100.00 100.00 P2018 100.00 . X Therapist Self 100.00 100.00 P2018 100.00 08/17/2017 Pete Christensen Grass Valley, CA 95945 X Retired
