o Recall (Also Comple/e Part 5)

Transcription

1 Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins ) Type r print in ink. Date Stamp c -('[I U i \ >~ V >,~, , i-'"'"'(4.lij,' STO C!l '( CLEI{I\ frm --'-0..::1/.::.0..::1/.::.2.::.0-'-16=-_ thrugh 06/30/2016 Date f electin if applicable: {Mnth, Day, Year~.i~~, A COVER PAGE CAUFORNIAAS" 2001/02 "t U FORM Page 1 f 17 Fr Officia! Use Only 1. Type f Recipient Cmmittee: All Cmmittees - Cmplete Parts 1, 2, 3, and Type f Statement: D Ballt Measure Cmmittee Officehlder, Candidate Cntrlled Cmmittee State Candidate Electin Cmmittee Recall (Als Cmple/e Part 5) D General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee Primarily Frmed Cntrlled Spnsred (Als Cmplete Part 6) 00 Primarily Frmed Candidate! Officehlder Cmmittee (Als Cmplete Pi!:lr/ 7) 0 Preelectin Statement 0 Semi~annuar Statement 0 Terminatin Statement 0 Amendment (Explain belw) IKl 0 Quarterly Statement Special Odd-Year Reprt Supplemental Preelectin Statement - Attach Frm Cmmittee Infrmatin COMMITTEE NAME (OR CANDI'S NAME IF NO COMMITTEE) LD. NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DIST Treasurer(s) NAME OF TREASURER RONZIPSER MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY MODESTO STATE CA ZIP CODE MAIUNG ADDRESS (IF DIFFERENT) NO. AND STREET OR P,O. BOX AREA CODE/PHONE CITY CERES NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE CA ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAl: FAX I ADDRESS OPTIONAL: FAX I ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statem certify under penalty f perjury under the laws f the State f Califrnia t Executed n Executed n 07/28/2016 D'" 07/28/2016 D", ue and cmplete. J Executed n Executed n """ Dale By_~ ~~~~~~~~~~~~~~~~~,- Signature f Cntrlling Officehlder, candidate. Stale Measure Prpnent By "S"',gM=,,:::,,"'t"'C"'O"tr"II"'ing"O"'ffi"""h"_"'''':,-'.''C,''rnl''id''''''''''.S'''",:;;''''M''~'''''~''''P''rn;:;p''_= FPPC Frm 460 (June/01) FPPC TlI~Free Helpline: 866/ASK-FPPC State f Califrnia

2 Recipient Cmmittee Campaign Statement Cver Page - Part 2 Type r print in ink. 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDI 6. Ballt Measure Cmmittee NAME OF BAllOT MEASURE MANIGREWAL OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) MODESTO CITY COUNCIL DISTRICT 1 RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STAlE ZIP MODESTO CA BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDI, OR PROPONENT Related Cmmittees Nt Included in this Statement: List any cmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. OFFICE SOUGHT OR HElD DISTRICT NO, IF ANY COMMITTEE NAME!.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES ONO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME J.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 7. Primarily Frmed Cmmittee List names ffficehlder(s) rcandidate(s) fr which this cmmittee is primarily frmed. NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD I!CI SUPPORT MANI GREWAL CITY COUNCIL OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE Attach cntinuatin sheets if necessary FPPC Fnn 460 (June/01) FPPC TlI~Free Helpline: 86G/ASK~FPPC State f Califrnia

3 Campaign Disclsure Statement Summary Page Type r print In ink. frm SUMMARY PAGE CA!.IFORNIAA6 n 0_1_/0_1_/2_0_1_6 FORM ~ U MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 thrugh 06/30/2016 Page _...:3,--_ f 17 LD. NUMBER s Received 1. Mnetary s.... Schedule A, Line 3 2. Lans Received... "..,... ""... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines Nnmnetary s... "... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED..... AddLines3+4 ClumnA TOTAl TH!SPERIOD (FROM ATTACHED SCHEDULES) ClumnB TOTAL TO Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 20. s Received 21. Expenditures Made 111 thrugh 6/30 7/1 t Date Expenditures Made 6. Payments Made.... Schedule E, Line Expenditure Limit Summary fr State Candidates 7. Lans Made.... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS..... AddLines Cumulative Expenditures Madel< {If Subject t Vluntary Expenditure limit} 9. Accrued Expenses (Unpaid Bills)... SchedufeF. Line Nnmnetary Adjustment...,..,... "... Schedule C, Line TOTALEXPENDITURESMADE... Add Lines Current Cash Statement 12. Beginning Cash Balance... Previus Summary Page. Line 16 T calculate Clumn 8, add 13. Cash Receipts Clumn A, Line 3 abve amunts in Clumn A t the crrespnding amunts 14. Miscellaneus Increases t Cash..., Schedule I, Line 4 frm Clumn B f yur last 15, Cash Payments... CJumnA,LineBabve 6000 reprt. Sme amunts in Clumn A may be negative 16. ENDING CASH BALc\NCE...,... Add Lines , then subtract Line figures that shuld be subtracted frm previus If this is a terminatin statement, Line 16 must be zer. perid amunts. If this is \ the first reprt being fried 17. LOAN GUARANTEES RECEIVED... ScheduJeB. Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents.... See instructins n reverse 19. Outstanding Debts... AddLine2+Line9inCIumnBabve fr this calendar year, nly carry ver the amunts frm Lines 2, 7, and 9 (if any). Date f Electin (mmlddlyy) ----'----' '----' '----' '----' '----' '----'-- Ttal t Date *Since January 1, Amunts in this sectin may be different frm amunts reprted in Clumn B. FPPC Frm 460 (June/01) FPPC Tll-Free Helpline: 866/ASK-FPPC

4 Schedule A Mnetary s Received Type r print in ink. Statement Cvers perid frm 0 1 1_01...:./ 20,--1 6,--_ SCHEDULE A CAI:.IFORNIAA6l\ FORM Ct U MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 thrugh 06/30/2016 Page 4 LD. NUMBER f 17 RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, AlSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO 01/04/2016 BFC PROPERTIES INC MODESTO,CA DCOM IK]OTH DPTY DSCC REAL ESTATE DCOM DPTY IK]SCC IK]IND DCOM DPTY DSCC DCOM DPTY DSCC DCOM DPTY DSCC SUBTOTAL Schedule A Summary 1. Amunt rece',ved this perid - cntributins r mre. (Include all Schedule A subttals.)... 10'_0...:.0_ 2. Amunt received this perid - unitemized cntributins f less than Ttal mnetary cntributins received this perid. (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Line 1.)... TOTAL 1_0_0_'0_ "Cntributr Cdes lnd -Jndividual COM - Recipient Cmmittee (ther than PTY r SeC) OTH -Olher PTY - Plitical Party sec - Small Cntributr Cmmittee FPPC Frm 460 (June/01) FPPC Tll-Free Helpline: 866/ASK-FPPC

5 Schedule A (Cntinuatin Sheet) Mnetary s Received Type r print in ink. frm SCHEDULE A (CONT.) CAtiFORNIAAen 0=-1::..10=-1,,-/2::.0=-1:...:6,-_ FORM ~UU thrugh 06/30/2016 Page 5 f 17 _ 1.0. NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN. 1 ~ DEC. 31) PER ELECTION TO NIA DCOM DPTY DSCC DCOM DPTY DSCC DCOM DPTY Dsce DCOM DPTY DSCC DeOM DPTY DSCC SUBTOTAL *Cntributr Cdes IND-Individual COM - Recipient Cmmittee (ther than PTY r SCC) OTH-Other PTY - Plitical Party sec - Small Cntributr Cmmittee FPPC Frm 460 (JuneI01) FPPC Tll-Free Helpline: 866IASK-FPPC

6 Schedule B - Part 1 Lans Received Type r print in ink. frm 0_1_/0_1_/2_0_1_6 SCHEDULEB-PART1 CAI..IFORNIAA~ l'\ FORM "+UU thrugh 06/ Page 6 I.D. NUMBER f 17 MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITIEE, ALSO ENTER I.D. NUMBER) MANIGREWAL MODESTO,C A95356 tliil INO 0 COM 0 OTH 0 PlY see IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SELF EMPLOYED GREWALRE HOLDINGS LLC, OUTSTANDING BALANCE BEGINNING THIS I 0 Ibl AMOUNT RECEiVED THIS PERIOD AMOUNT PAID OR FORGIVEN THIS PERIOD '" PAID FORGIVEN Idl OUTSTANDING BALANCE AT CLOSE OF THIS PERID /31/16 DUE I-I INTEREST PAID THIS PERIOD _% RATE, If ORIGINAL AMOUNTOF LOAN /2016 INCURRED 191 CUMULATIVE CONTRIBUTIONS TO 5000 PER ELECTION"" 5000 PAID t IND 0 COM 0 OTH 0 PlY 0 sec,---- FORGIVEN DUE -_% RATE INCURRED PER ELECTION #ri DPAID D FORGIVEN -_% RATE,---- PER ELECTION'H t INO 0 COM 0 OTH 0 PlY 0 sec DUE INCURRED Schedule B Summary SUBTOTALS Lans received this perid... (Ttal Clumn (b) plus unitemized lans less than 100.) 2. Lans paid r frgiven this perid... (Ttal Clumn (c) plus lans under 100 paid r frgiven.) (Include lans paid by a third party that are als itemized n Schedule A.) 3. Net change this perid. (Subtract Line 2 frm Line 1.)... NET Enter the net here and n the Summary Page, Clumn A, Line (May be a negative numbef) (Enter(e)n Schedule E, line 3) *Amunts frgiven r paid by anther party als must be reprted n Schedule A. *" If required. t Cntributr Cdes IND -Individual COM - Recipient Cmmittee (ther than PTY r SeC) OTH - Other PTY - Plitical Party sec -SmaU Cntributr Cmmittee FPPC Frm 460 (June/01) FPPC Tll-Free Helpline: 866IASK-FPPC

7 Schedule B - Part 2 Lan Guarantrs Type r print in ink. frm SeHEDULEB-PART2 CAL.lFORNIAAC n 0_1_10_1_/2_0_1_6 FORM... V'"' MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 thrugh 06/30/2016 Page 7 LD, NUMBER f 17 NIA FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR {IF COMMITTEE,ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE DeDM DPTY Dsee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER {IF SELF-EMPLOYED, ENTER NAME OF SUSINESS LOAN LENDER OATE AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO,---- PER ELECTION BALANCE OUTSTANDING TO DeOM DPTY Dsee LENDER OATE PER ELECTION DCOM DPTY Dsee LENDER PER ELECTION DeOM DPTY Dsee LENDER OATE PER ELECT!ON SUBTOTAL Entern Summary Page, Una 17 nly. FPPC Frm 460 (June/Ol) FPPC Tll-Free Helpline: 866/ASK-FPPC

8 ScheduleC Nnmnetary s Received Type r print in ink. frm SCHEDULEC CALIFORNIA A ~ 1\ 0_1_/0_1--../2--..0_1_6 FORM ~\JU thrugh 06/ Page 1.0. NUMBER f 17 MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMlnEE, ALSO ENTER LD. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF self-employed, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNTI FAtRMARKET VALUE CUMULATIVE TO (JAN 1 wdec31) PER ELECTION TO NIA OIND OCOM OPTY OSCC OIND OCOM OPTY OSCC OIND OCOM OPTY OSCC OIND OCOM OPTY OSCC Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule C Summary *Cntributr Cdes INO -Individual 1. Amunt received this perid - nnmnetary cntributins f 1 00 r mre. COM - Recipient Cmmittee (Include all Schedule C subttals.)... (ther than PTY r SeC) OTH-Other 2. Amunt received this perid - unitemized nnmnetary cntributins f less than PTY - Plitical Party 3. Ttal nnmnetary cntributins received this perid. (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Lines 4 and 10.)... TOTAL sec - Small Cntributr Cmmittee FPPC Frm 460 (Junef01) FPPC Tll-Free Helpline: B66fASK-FPPC

9 ScheduleD Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 Type r print in ink. frm 0:..1:c/:.. 01,,-1=-20:..1'-.:6,--_ thrugh 06/30/2016 SCHEDULED CAI:JFORNIA }A~ A FORM!+UV Page NUMBER f 17 NAME OF CANDI, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION AMOUNT THIS PERIOD CUMULATIVE TO (JAN.1 DEC.31) PER ELECTION TO NIA D Supprt D Oppse D Mnetary D Nnmnetary D Independent Expenditure D Supprt D Oppse D Mnetary D Nnmnetary D Independent Expenditure D Supprt D Oppse D Mnetary D Nnmnetary D Independent Expenditure SUBTOTAL Schedule D Summary 1. s and independent expenditures made this perid f 100 r mre. (Include all Schedule D subttals.) Unitemized cntributins and independent expenditures made this perid f under Ttal cntributins and independent expenditures made this perid. (Add lines 1 and 2. D nt enter n the Summary Page.)... TOTAL FPPC Frm 460 (June/01) FPPC Tll-Free Helpline: 866IASK-FPPC

10 ScheduleD (Cntinuatin Sheet) Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees Ty perprntmin. I. k frm thrugh cvers perid 01/ Page 10 'D(CO~ -.) f NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 NAME OF CANDI, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, ORCOMMIITEE TYPE OF PAYMENT DESCRIPTION (tf REQUIRED) CUMULATIVE TO PER ELECTION AMOUNT THIS TO PERIOD (JAN. 1 "DEC. 31} NIA Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure SUBTOTAL I I FPPC Frm 460 (June/01) FPPC TlI Free Helpline: 866/ASK FPPC

11 ScheduleE Payments Made Type r print in ink. frm 0_1_10_1_12_0_1_6 SCHEDULEE CAL1FORN1AA~n FORM "'tuv thrugh 06130/2016 Page 11 CO. NUMBER f 17 MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. 0\I1P campaign paraphernalia/misc. CNS campaign cnsultants etb cntributin (explain nnmnetary)* eve civic dnatins FIL candidate filing/ballt fees FND fundraising events!no independent expenditure supprting/ppsing thers (explain)" LEG legal defense UT campaign literature and maillngs MBR MTG OFC FtT PJ-I() POL POS PRO PRT member cmmunicatins meetings and appearances ffice expenses petitin circulating phne banks plling and survey research pstage, delivery and messenger services prfessinal services Oegal, accunting) print ads RAD radi airtime and prductin csts RFD returned cntributins SAL campaign wrkers' salaries TEL t.v. r cable airtime and prductin csts TRe candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer between cmmittees f the same candidate/spnsr VOT vter registratin \l\leb infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID RICHIE ROSS CONSULTING SACRAMENTO, CA TRICOUNTIES BANK CHICO, CA CAMPAIGN CONSULTING CNS 6000 BANK FEES OFC 211 * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL 6211 Schedule E Summary Payments made this perid f 1 00 r mre. (Include all Schedule E subttals.) Un itemized payments made this perid funder Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).) Ttal payments made this perid. (Add Lines 1,2, and 3. Enter here and n the Summary Page, Clumn A, Line 6.)... TOTAL FPPC Frm 460 (June/Ol) FPPC Tll-Free Helpline: 866/ASK-FPPC

12 Schedule E (Cntinuatin Sheet) Payments Made Type r print in ink. frm 0_1_/0_1_/2-,0_1-,-6 thrugh 06/30/2016 I.D,NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 SCHEDULE E (CO NT.) ClI.UFORNllI.At! t\ FORM ~UU CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. ctv1p campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins F T pefltian circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PH:) phne banks TRC candidate travel, ldging, and meals FND fundraising events POL plling and survey research TRS staff/spuse travel, ldging, and meals!no independent expenditure supprting/ppsing thers (explain)* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services {legal, accunting} VOT vter registratin UT campaign literature and mailings PRT print ads VVEB infrmatin technlgy csts (internet, ) Page 12 f 17 NAME AND ADDRESS OF PAYEE CODE OR (IF COMMITIEE. ALSO ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT AMOUNT PAID * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL FPPC Frm 460 (June/01) FPPC TlI Free Helpline: 866/ASK FPPC

13 Schedule F Accrued Expenses (Unpaid Bills) Type r print in ink. frm _-----'0:...:1.:.;10:...:1.:.:12:.:0--'-1.::.6 SCHEDULEF MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 th rug h Page _1_3_ f 17 LD,NUMBER CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. ctv'ip campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin {explain nnmnetary)", OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins F T petitin circulating 1EL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees Pr phne banks me candidate travel, ldging, and meals FND fundraising events POL plling and survey research TRS staff/spuse travel. ldging, and meals IND independent expenditure supprting/ppsing thers (exp!ain)* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VaT vter registratin UT campaign literature and mailings PRT print ads \lveb infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCR!PTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF TH!S PERIOD (b) (e) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD NIA * payments that are cntributins r Independent expenditures must als be summarized n Schedule D. SUBTOTALS Schedule F Summary 1. Ttal accrued expenses incurred this perid. (Include all Schedule F, Clumn (b) subttals fr accrued expenses f 1 00 r mre, plus ttal unitemized accrued expenses under 100.)... INCURRED TOTALS 2. Ttal accrued expenses paid this perid. (Include all Schedule F, Clumn (c) subttals fr payments n accrued expenses f 100 r mre, plus ttal unitemized payments n accrued expenses under 100.)... PAID TOTALS 3. Net change this perid. (Subtract Line 2 frm Line 1. Enter the difference here and n the Summary Page, Clumn A, Line 9.)... NET ""===='" May be a negative number FPPC Frm 460 (June/Ol) FPPC Tll-Free Helpline: 866/ASK-FPPC

14 Schedule F (Cntinuatin Sheet) Accrued Expenses (Unpaid Bills) MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 Type r print in ink. frm 0_1_1_01_1_20_1_6 06/ thrugh SCHEDULE F (CONT.) CALIFORNIA 'AI!\l\ FORM ~U.U Page~ f NUMBER CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. GNP campaign paraphernalia/misc. MBR member cmmunicatins CNS campaign cnsultants MTG meetings and appearances CTB cntributin (explain nnmnetary)* OFC ffice expenses CVC civic dnatins PET petitin circulating FIL FND IND leg LrT candidate filing/ballt fees fund raising events independent expenditure supprting/ppsing thers (explain)" legal defense campaign literature and mailings PHO POL PCS PRO PRT phne banks plling and survey research pstage, delivery and messenger services prfessinal services (legal, accunting) print ads * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. RAD RFD SAL TEL TRC TRS TSF VOT I!\EB radi airtime and prductin csts retumed cntributins campaign wrkers' salaries t. v, r cable airtime and prductin csts candidate travel, ldging, and meals staff/spuse travel, ldging, and meals transfer between cmmittees f the same candidate/spnsr vter registratin infrmatin technlgy csts (internet, ) (a) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING (IF COMMITTEE, ALSO ENTER 1.0, NUMSER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD (b) (e) (d) AMOUNTINCURRED AMOUNTPA!D OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD N/A SUBTOTALS FPPC Frm 460 (June/Oi) FPPC Tll-Free Helpline: 866/ASK-FPPC

15 Scl1eduleG 'TYpe r print in ink. SCHEDULEG Payments Made by an Agent r Independent Cntractr (n Behalf fthis Cmmittee) frm 0,-1c..;10:...:1:..::/2:.:.0-,-16=--_ CALIFORNIAA~n FORM ~UU 06/30/2016 thrugh Page 15 f 17 LD.NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRe candidate travel, ldging, and meals FND fund raising events POL plling and survey research TRS staff/spuse travel, ldging, and meals lno independent expenditure supprting/ppsing thers (explain)'" POO pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin UT campaign literature and mailings PRT print ads VVEB infrmatin technlgy csts (internet, ) * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMQUNTPAID N/A Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. * D nt transfer t any ther schedule r t the Summary Page. This ttal may nt equal the amunt paid t the agent r independent cntractr as reprted n Schedule E. TOTAL' FPPC Frm 460 (JuneI01) FPPC TlI Free Helpline: 866IASK FPPC

16 Schedule H Lans Made t Others* Type r print in ink. frm 0,-1.:../0,-1-,,/2::..:0,-1.:..6 SCHEDULEH thrugh 06/30/2016 Page 16 f 17 NAM E OF FILER LD. NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE. ALSO ENTER 1.0. NUMBER) (.) INTEREST RECEIVED (n ORIGINAL AMOUNT OF LOAN (,) CUMULATIVE LOANS TO NIA -_% MOE ---,---- PER ElECTlON** INCURRED -_% MOE,---._--- PER ELECTION** INCURRED *Lans that are cntributins t anther candidate r cmmittee must als be summarized n Schedule D. Lans frgiven must als be reprted n Schedule E. SUBTOTALS (Enter (e) n Schedule I. Line 3) Schedule H Summary 1. Lans made this perid... (Ttal Clumn (b) plus un itemized lans less than 100.) 2. Payments received n lans... (Ttal Clumn (c) plus un itemized payments less than 100.) 3. Net change this perid. (Subtract Line 2 frm Line 1.)... NET._"'=====- (May be a negahve number) (Enter the net here and n the Summary Page, Clumn A, Line 7.) "If Required FPPC Frm 460 (June/Oi) FPPC Tll-Free Helpline: 866/ASK-FPPC

17 Schedule I Miscellaneus Increases t Cash Type r print in ink. frm 0_1/_0_1/_2_01_6 SCHEDULE I CAl.;lFORNIAAn FORM ~UU MANI GREWAL FOR MODESTO CITY COUNCIL DISTRICT 1 thrugh 06/ Page 17 LD.NUMBER f 17 RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER t. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH NIA Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Increases t cash f 1 00 r mre this perid Unitemized increases t cash under 100 this perid Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e).) Ttal miscellaneus increases t cash this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Line 14.)... TOTAL FPPC Frm 460 (June/01) FPPC Tll-Free Helpline: 866/ASK-FPPC

18 Recipient Cmmittee Campaign Statement Cver Page r r ~ Date f electin if applicable: Date Stamp L L:. i \',:.. \i -! (S ra Cl"i y r LL July 1,2016 (Mnth, Day, Year) 2, 17 JlUi.1! PH 4' t,. frm -'--' COVER PAGE CALIFORNIA 460 FORM Page 1 f 17 Fr Official Use Only December 31,2016 thrugh 1. Type f Recipient Cmmittee: All Cmmittees -Cmplete Parts 1, 2, 3, and 4. Officehlder, Candidate Cntrlled Cmmittee Primarlly Frmed Ballt Measure State Candidate Electin Cmmittee Cmmittee Recall Cntrlled (A/s CmpietfJ Par(5) Spnsred (Als Cmplete Psrl6) General Purpse Cmmittee Spnsred ~ Primarily Frmed Candidate! Small Cntributr Cmmittee Officehlder Cmmittee (Als Cmplete Part 7) Plitical Party/Central Cmmittee 3. Cmmittee Infrmatin COMMITTEE NAME (OR CANDI'S NAME IF NO COMMITTEE) 1.0. NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DIST. 1, Type f Statement: Preelectin Statement!i2I Semi-annua! Statement Terminatin Statement (Als file a Frm 410 Tenminatin) Amendment (Explain belw) Treasurer(s) NAME OF TREASURER RONZIPSER MAILING ADDRESS Quarterly Statement Special Odd-Year Reprt STREET ADDRESS (NO P.O. BOX) CITY MODESTO STATE ZIP CODE CA MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX AREA CODE/PHONE CITY CERES NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE ZIP CODE AREA CODE/PHONE CA CITY STATE ZIP CODE AREA CODEiPHONE CITY STATE ZIP CODE AREA CODEiPHONE OPTIONAL: FAX I E~MAILADDRESS OPTIONAL: FAX I ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement and t certify under penalty f perjury under the laws f the State f Califrnia that the freg Executed n Executed n 1/30/2017 Date 01/30/2017 Date By By d schedules is true and cmplete. Executed n Date By Signature f Cntrlling Officehlder, Candidate, State Measure Prpnent Executed n Date By Signature f Cntrlling Officehlder, Candidate, Stala Measure Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

19 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDI MAN I GREWAL OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) MODESTO CITY COUNCIL DIST 1 RESIDENT1AUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP MODESTO CA Related Cmmittees Nt Included in this Statement: List any cmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. 6. Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO, OR LEDER JURISDICTION D D SUPPORT OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDI, OR PROPONENT OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY COMMITTEE NAME l.d.number NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P,O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D.NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES D NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 7. Primarily Frmed Candidate/Officehlder Cmmittee Ust names f fflcehlder(s) r candidate(s) fr which this cmmittee is primarily frmed. NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD i1'i SUPPORT MANIGREWAL CITY COUNCIL D OPPOSE NAME OF OFFICEHOLDER OR CANDI NAME OF OFFICEHOLDER OR CANDI NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD OFFICE SOUGHT OR HELD D D D D D D SUPPORT OPPOSE SUPPORT OPPOSE SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach cntinuatin sheets if necessary FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

20 Campaign Disclsure Statement Summary Page MANI GREWAL FOR CITY COUNCIL DISTRICT 1 ClumnA s Received TOTAL TH!S PERIOD (FROM AlTACHED SCHEDULES) 1. Mnetary s...,...,... Schedule A, Line 3 2. Lans Received... "...,...,,,...,... ScheduleB, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Unes Nnmnetary s...,... Schedule C. Une TOTAL CONTRIBUTIONS RECEIVED......Add Unes '--'-..:.. ClumnB TOTAl TO SUMMARY PAGE CALIFORNIAA~I\ frm J_u...:IY_l..:.,_2_0_16 FORM "+UU thrugh December page 3 _ f ( J.D. NUMBER Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 20. s Received 21. E:xpenditures Made 1/1 thrugh 6/ /1 t Date Expenditures Made 6. Payments Made... ".... Schedule E, Line Expenditure Limit Summary fr State Candidates 7. Lans Made Schedule H, Line 3 8. SUBTOTAL CASH PAyMENTS..."... AddUnes Cumulative Expenditures Made'" (tf Subject t Vluntary Expenditure LImit) 9. Accrued Expenses (Unpaid Bills)... Schedule F, Une Nnmnetary Adjustment..... Schedule C. Une TOTAL EXPENDITURES MADE... AddUnes Date f Electin (mmfddfyy) Ttal t Date ---- Current Cash Statement 12. Beglnning Cash Balance... Previus Summary Page, Une Cash Receipts... ClumnA, Une 3 abve Miscellaneus Increases t Cash... ScheduJeJ,Line4 15. Cash Payments... ClumnA Une 8 abve ENDING CASH BALANCE... Add Lines , then subtract Line If this is a terminatin statement, Line 16 must be zer, 17. LOAN GUARANTEES RECEiVED... "... ScheduleB.Part2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents... See instructins n reverse 19. Outstanding Debts...,... Add Line 2 4- Une 9 in Clumn B abve T calculate Clumn St add amunts in Clumn A t the crrespnding amunts frm Clumn S f yur last reprt. Sme amunts in Clumn A may be negative figures that shuld be subtracted frm previus perid amunts. If this is the first reprt being flied fr this calendar year, nly carry ver the amunts frm Lines 2. 7, and 9 (if any) "'Amunts in this sectin may be different frm amunts reprted in Clumn B. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

21 Schedule A Mnetary s Received Statement clovers perid frm J_ul.:.Y._1..:.' _2_0_16 SCHEDULE A CALIFORNIA 461\ FORM U thrugh December 31,2016 Page _..:.4_ d NUMBER RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMIITEE, ALSO ENTER l.o. NUMBER) CODE * IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO N/A N/A lnd eom PTY Osee lnd em PTY Osee lnd COM PTY Osee lnd eom PTY Osee lnd em PTY Osee Schedule A Summary SUBTOTAL 1. Amunt received this perid - itemized mnetary cntributins. (Include all Schedule A subttals.) Amunt received this perid - unitemized mnetary cntributins f less than Ttal mnetary cntributins received this perid. (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Line 1.)... TOTAL "Cntributr Cdes IND -Individual COM - Recipient Cmmittee (ther than PTY r SeC) OTH - Other (e.g. business entity) PTY - Plitical Party sec - Small Cntributr Cmmittee FPPC Frm 460 (Jan/Z016) FPPC Advice: advice@fppc.ca.gv (866/ )

22 Schedule A (Cntinuatin Sheet) Mnetary s Received SCHEDULE A (CO NT.) CALIFORNIAAC n frm July 1, 2016 FORM 6fUU thrugh December 31,2016 Page 5 f it I.D. NUMBER RECEIVED FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMM1TIEE, ALSO ENTER t. NUMBER) CONTRCOIDBEUT~R IF AN INDIVIDUAL. ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN.1-DEC.31) PER ELECTION TO N/A COM DpTY Osee DeOM DpTY Osee DeOM DpTY Osee DeM DpTY Osee COM DpTY Osee SUBTOTAL *Cntrlbutr Cdes INO -Individual COM - Recipient Cmmittee (ther than PTY r SeC) OTH - Other (e.g., business entity) PTY - Plitical Party sec - Small Cntributr Cmmittee FPPC Frm 460 (Jan/2016) FPPC Advice: adv!ce@fppc.ca.gv (866/ )

23 Schedule B - Part 1 Lans Received frm _---=J:.:u"' IYc..1:.c,..::.2:..:0'-'1.::6 SCHEDULf; B - PART 1 CALIFORNIA.t6m FORM thrugh December 31,2016 Page 6 f NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMM1TIEE, ALSO ENTER 1.0. NUMBER) MANIGREWAL MODESTO, CA t Itl IND 0 COM 0 OTH 0 PTY 0 sec t INO 0 COM 0 OTH 0 PTY 0 sec t INO 0 COM OOTH 0 PTY 0 sec IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SELF EMPLOYED GREWALRE HOLDINGS LLC OUTSTANDING BALANCE BEGINNING THIS PERIOD _---' _--- b AMOUNT RECEIVED THIS PERIOD (e) AMOUNT PAID OR FORGIVEN THIS PERIOD.. PAID FORGIVEN D PAID D FORGIVEN.---- PAID._--- FORGIVEN OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD /31/2016 DUE DUE._--- DUE INTEREST PAID THIS PERIOD 1.00 % RATE 0.00 % RATIO %.---- RATE ORIGINAL AMOUNT OF LOAN /01/16 INCURRED.--- INCURRED INCURRED, CUMULATIVE CONTRIBUTIONS TO PER ElECTION** 19000,---- PER ELECTION U,---- PER ELECTION*",---- SUBTOTALS Schedule B Summary 1. Lans received this perid (Ttal Clumn (b) plus unitemized lans f less than 100.) 2. Lans paid r frgiven this perid... (Ttal Clumn (c) plus lans under 100 paid r frgiven.) (Include lans paid by a third party that are als itemized n Schedule A.) 3. Net change this perid. (Subtract Line 2 frm Line 1.)... NET Enter the net here and n the Summary Page, Clumn A, Line 2. 1"'4"'0"'0"'0"-- {May be a negattve number} (Enter (6) n Schedu!e E, Une 3) tcntributr Cdes INO - Individual COM - Recipient Cmmittee (ther than PTY r SCC) OTH - Other (e.g., business entity) PTY - Plitical Party SCC - Small Cntributr Cmmittee. *Amunts frgiven r paid by anther party als must be reprted n Schedule A. *,. If required. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

24 Schedule B - Part 2 lan Guarantrs frm _-,J:::l::iIIY,--1-,,'c.:2::::0:..:1.:::6 SCHEDULE B - PART 2 CALIFORNIA 46" FORM U thrugh )ecember 31, 201 E Page 7 LD.NUMBER f-il- MANI GREWAL FOR CITY COUNCIL DISTRICT 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER!.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO BALANCE OUTSTANDING TO N/A DeOM DpTY Dsee LENDER PER ELECTION DeOM DpTY Dsee LENDER PER ELECTION DeOM DPTY Dsee LENDER PER ELECTION DeOM DPTY Dsee LENDER PER ELECTION SUBTOTAL tern Summary Page, Line 17 nly, FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

25 Schedule C Nnmnetary s Received MANI GREWAL FOR CITY COUNCIL DISTRICT 1 frm July 1,2016 thrugh )ecelmber 31, 201E Page 8 sehedulee CALIFORNIAAC n FORM "+UU I.D. NUMBER f n RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (!F SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNTI FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) PER ELECTION TO N/A DeOM DPTY Osee DINO DeOM DPTY Osee DINO DeOM DPTY Osee DINO COM DPTY see Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule C Summary 1. Amunt received this perid - itemized nnmnetary cntributins. (Include all Schedule C subttals.)..."...,..."...,..".." Amunt received this perid - un itemized nnmnetary cntributins f less than "... "... *Cntributr Cdes INO - Individual COM - Recipient Cmmittee (ther than PTY r SeC) OTH - Other (e.g., business entity) PTY - Plitical Party 3. Ttal nnmnetary cntributins received this perid. sec - Small Cntributr Cmmittee (Add Lines 1 and 2. Enter here and n the Summary Page, ClumnA, Lines 4 and 10.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

26 Schedule D Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees MANI GREWAL FOR CITY COUNCIL DISTRICT 1 frm July 1, 2016 thrugh )ecember 31, 201 E Page 9 SCHEDULED CALIFORNIAACO FORM "'tu I.D.NUMBER NAME OF CANDI, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRiPTION AMOUNTTHIS PERIOD CUMULATIVE TO (JAN, 1 ~ DEC. 31) PER ELECTION TO N/A Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure SUBTOTAL Schedule D Summary 1, Itemized cntributins and independent expenditures made this perid. (Include all Schedule D subttals.)... 2, Unitemized cntributins and independent expenditures made this perid f under Ttal cntributins and independent expenditures made this perid. (Add Lines 1 and 2. D nt enter n the Summary Page.)... TOTAL.. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

27 Schedule 0 (Cntinuatin Sheet) Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees '''""e ur rllck MANI GREWAL FOR CITY COUNCIL DISTRICT 1 Am un ts may be r u nd e d frm July 1, 2016,D (CaNT.) cvers perid thrugh)ecember 31, 201E Page 10 Of~ 1.0. NAME OF CANDI. OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LEITER AND JURISDICTION. ORCOMMIITEE TYPE OF PAYMENT DESCRIPTION AMOUNT THIS PERIOD CUMULATIVE TO (JAN. 1 DEC. 31) PER ELECTION TO N/A Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expend1ture Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure SUBTOTAL."i,)'..,'; ',. FPPC Frm 460 (J.n/2016) FPPC Advice: advice@fppc.c gv (866/ )

28 Schedule E Payments Made frm _-=J;::u l:;.y-,1:!.,.::2;::0:...16=-_ SCHEDULE E CALIFORNIAA~n FORM... UU Ih'OU9hJecElmber 31, 201 E Page 11 f 11- l.d.number MANI GREWAL FOR CITY COUNCIL DISTRICT 1 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAO radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins GTB cntributin (explain nnmnetary)* OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petttin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/bant fees PHO phne banks TRC candidate travel, ldging, and meals FND fundraising events POL plling and survey research TRS staff/spuse travel, ldging, and meals [ND independent expenditure supprting!ppsing thers (explain)'" pas pstage. delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (intemet, ) NAME AND ADDRESS OF PAYEE (JF COMMiTTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPA!D RICHIE ROSS CONSULTING SACRAMENTO, CA RICHIE ROSS CONSULTING SACRAMENTO, CA TRI COUNTIES BANK CHICO, CA CAMPAIGN CONSULTING CNS 8000 CAMPAIGN CONSULTING CNS 6000 BANK FEES OFC 105 * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL Schedule E Summary Itemized payments made this perid. (Include all Schedule E subttals.) Unitemized payments made this perid f under Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).) Ttal payments made this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Clumn A, Line 6.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

29 Schedule E (Cntinuatin Sheet) Payments Made MANI GREWAL FOR CITY COUNCIL DISTRICT 1 frm Ju_l-,-y._1.:..,..;.20.:..1.:..6,--_ thrugt?ecember 31, 201E SCHEDULE E (CONT.) CALIFORNIAJIISA FORM... U Page NUMBER f [1 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. emp campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins CTS cntributin (explain nnmnetary),"" OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRe candidate travel, ldging, and meals FNO fundraising events POL plling and survey research TRS staff/spuse travel, ldging, and meals INO independent expenditure supprting/ppsing thers (explain)* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (Jegal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB Infrmatin technlgy csts (internet, e~mail) NAME AND ADDRESS OF PAYEE (IF COMMllTEE, ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID N/A * Payments that are cntributins r Independent expenditures must als be summanzed n Schedule 0, SUBTOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gv{866/ )

30 Schedule F Accrued Expenses (Unpaid Bills) frm J_u~ly_1~,_2_0_16 SCHEDULE F CAI...IFORNIAA61\ FORM "+ \I MANI GREWAL FOR CITY COUNCIL DISTRICT 1 thrugh )ecember 31, 201 Pag.~ fj..l 1.0. NUMBER CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFO returned cntributins CTS cntributin (explain nnmnetary)* OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRC candidate travel, ldging, and meals FNO fundraising events POL plling and survey research TRS staff/spuse travel, ldging, and meals INO independent expenditure supprting/ppsing thers (explain)* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG lega! defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (internet, ) N/A NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER l.d. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) (e) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD * Payments that are cntnhutlns r mdependent expenditures must als be summarized n Schedule D, SUBTOTALS Schedule F Summary 1. Ttal accrued expenses incurred this perid. (Include all Schedule F, Clumn (b) subttals fr accrued expenses f 100 r mre, plus ttal unitemized accrued expenses under 100.)... INCURRED TOTALS 2. Ttal accrued expenses paid this perid. (Include all Schedule F, Clumn (c) subttals fr payments n accrued expenses f 1 00 r mre, plus ttal unitemized payments n accrued expenses under 100.)... PAID TOTALS 3. Net change this perid. (Subtract Line 2 frm Line 1. Enter the difference here and n the Summary Page, Clumn A, Line 9.)... NET '"T.;====;;;;;;- May be a negative number FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ ) UIUl/lAl Inn,. 1"::1; anu

31 Schedule F (Cntinuatin Sheet) Accrued Expenses (Unpaid Bills) Irm Ju_IY,_1,-,2_0_1_6 SCHEDULE F (CONT.) CALIFORNIAA~O FORM ~U thrughjecember31,201e 14 \1 Page 01 J.D. NUMBER MANI GREWAL FOR CITY COUNCIL DISTRICT 1 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/mise, campaign cnsultants cntributin (explain nnmnetary)* civic dnatins candidate filing/baut fees fundraising events independent expenditure supprting/ppsing thers (explain)'" legal defense campaign literature and mahings MBR member cmmunicatins MTG meetings and appearances OFC ffice expenses PET petitin circulating PHO phne banks POL plling and survey research POS pstage, delivery and messenger services PRO prfessinal services (legal, accunting) PRT print ads * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. RAD radi airtime and prductin csts RFD returned cntributins SAL campaign wrkers' salaries TEL t.v. r cable airtime and prductin csts TRC candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer between cmmittees f the same candidate/spnsr VOT vter registratin WEB infrmatin technlgy csts (internet, ) (a) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING (IF COMMITTEE, ALSO ENTER!,O, NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (e) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD N/A SUBTOTALS FPPC Frm 460 (Jan/2016) FPPC Advice: advice@lppc.ca.gv(866/ )

32 Schedule G Payments Made by an Agent r Independent Cntractr (n Behalf f This Cmmittee) July 1, 2016 frm -'---'- SCHEDULE G CALIFORNIAAC n FORM... U\.I thrugh )ecel1lber 31, 201E Page 15 fjcl MANI GREWAL FOR CITY COUNCIL DISTRICT 1 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign cnsultants cntributin (explain nnmnetary)* civic dnatins candidate filing/ballt fees fund raising events independent expenditure supprting/ppsing thers (explain)'" legal defense campaign literature and mailings MBR member cmmunicatins MTG meetings and appearances OFC ffice expenses PET petitin circulating PHO phne banks POL plling and survey research POS pstage, delivery and messenger services PRO prfessinal services (legal, accunting) PRT print ads * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. RAD radi airtime and prductin csts RFO retumed cntributins SAL campaign wrkers' salaries TEL t.v. r cable airtime and prductin csts TRC candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer beltween cmmittees f the same candidate/spnsr VOT vter registratin WEB infrmatin technlgy csts (Intemet, ) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF CDMMITIEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID NIA.. Attach addtllonal mfrmatln n apprpflate/y labeled cntmuatln sheets. * D nt transfer t any ther schedule r t the Summary Page. This ttal may nt equal the amunt paid t the agent r independent cntractr as reprted n Schedule E. TOTAL' FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

33 Schedule H Lans Made t Others* frm J_u...:;IY,_1_,_2_0_1_6 SCHEDULE H CALIFORNIA 460 FORM thrugh )ecember 31, 201E Page NUMBER MANI GREWAL FOR CITY COUNCIL DISTRICT 1 N/A FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, AlSO ENTER LD. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELf-EMPLOYED, ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS P RIOD (b) AMOUNT LOANED THIS PERIOD (0) REPAYMENT OR FORGIVENESS THIS PERIOD PAID D FORGIVEN (d) OUTSTANDING BALANCE AT CLOSE OF THIS (e) INTEREST RECEIVED --, RATE (ij ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE LOANS TO CAlENDAR YEAR PER ELECTION*- DUE INCURRED PAID FORGIVEN --, RATE PER ELECTION** DUE INCURRED *Lans that are cntributins t anther candidate r cmmittee must als be summarized n Schedule D. Lans frgiven must als be reprted n Schedule E. SUBTOTALS (Enter (e) n Schedule I, Line 3) Schedule H Summary 1, Lans made this perid,."... ".""."",,,,,..,,.. ".. "",,,,,,,,,,,..,,,,,,,,,,,,,,.,,,,,,.,.,,,,,,,,,,.. """""",,,,... "",."."""",..,..,,,,.,,.,,,,.,,,, (Ttal Clumn (b) plus unitemized lans f less than 100,) "If Required 2. Payments received n lans."... "."",,,,,,,,,...,,,,,,,.,.,.,,,..,..,,..,,,.",,,,,,,,,,,,.,,,,,,,.,,,.,,,,,,,,,,.,,,,.,.,,...,,,,.,.,,,,,,,,,,,,,,,,,,,,,,,,. (Ttal Clumn (c) plus unitemized payments f less than 100,) 3. Net change this perid. (Subtract Line 2 frm Line 1,) ".."""".""",.",."",.."".""""",,,,,,,,,,,,,,,,,,,,,,,,,"""""."""." NET (Enter the net here and n the Summary Page, Clumn A, Line 7,) (M,y,,, Mg,."mb"l FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc,ca.gv (866/ )

34 Schedule I Miscellaneus Increases t Cash SEE INSTRuCnONS ON REVERSE Statement C(lvers perid frm J_ul~y_1-,-, _2_01_6 Ihrugh)ecember 31, 201 E SCHEDULE I CALIFORNIA 4cn FORM UV Page 17 Ofn 1.0. NUMBER MANI GREWAL FOR CITY COUNCIL DISTRICT 1 RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER t. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH N/A Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Itemized increases t cash this perid Unitemized increases t cash f under 100 this perid Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e).) Ttal miscellaneus increases t cash this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Line 14.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ ).. _--...<:_ _..

35 Recipient Cmmittee Campaign Statement Cvet Page frm..::j.:ac;n"u"a",ryc;c;1,,-,2:...0:...1:..;7_ Date f electin if applicable: (Mnth, Day, Year) DatF' Stamp ~" f'_ tj,'~ \ ";< )j; JUL c I COVER PAGE CALIFORNIA 466 FORM f"!:j: ~1t,I>a~,~ge:;;;1~;;~O~f:;;;1:3=:...j Fr Official Use Only thrugh June 30, Type f Recipient Cmmittee: All Cmmittees -Cmplete Parts 1, 2, 3, and 4. Officehlder, Candidate Cntrlled Cmmittee State Candidate Electin Cmmittee Recall (Als Cmplete Part 5) General Purpse Cmmittee Spnsred Sma!! Cntributr CmmIttee Plitical Party/Central Cmmittee 3. Cmmittee Infrmatin COMMIITEE NAME {OR CANDI'S NAME IF NO COMMITTEE) D Primarily Frmed Ballt Measure Cmmittee Cntrlled Spnsred (Als CmpiG/e Part 6) IA Primarily Frmed Candidate! Officehlder Cmmittee (Als Cmpfflle nri 7) 1.0. NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DIST 1, Type f Statement: D Preelectin Statement b21 Semi-annual Statement Terminatin Statement (Als file a Frm 410 Terminatin) Amendment (Explain belw) Treasurer(s) NAME OF TREASURER RON ZIPSER MAILING ADDRESS D Quarterly Statement Special Odd-Year Reprt STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE MODESTO CA MAIUNGADDRESS (IF DIFFERENT) NO.,AND STREET OR P.O. BOX AREA CODE/PHONE CITY CERES NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE ZIP CODE CA AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL FAX I ADDRESS OPTIONAL: FAX I ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statement an certify under penalty f perjury under the laws {the State f Califrnia that the f Executed n 06/28/2017 0,. Executed n 06/28/2017 D,' rue and cmplete. I Executed n Executed n 0." Dala By ~~~~~~~~~~~"""~~~~ Signature f Cntrlling Officehlder, CandidatE!", State Me86ure Prpnent FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

36 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDI MAN I GREWAL OFFICE SOUGHT OR HELD (!NCLU~E LOCATION AND DISTRICT NUMBER IF APPLICABLE) MODESTO CITY COUNCIL DIST 1 RESIDENT1AUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP MODESTO CA Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LEDER JURISDICTION SUPPORT OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, if any. NAME OF OFFICEHOLDER, CANDI, OR PROPONENT Related Cmmittees Nt Included in this Statement: Listanycmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME!.D. NUMBER CA NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO COMMITTEE ADDRESS STREET ADDRESS {NO P.O. BOX} 7. Primarily Frmed Candidate/Officehlder Cmmittee Listnames f fflceh/der(s) r candidate(s) fr which this c.mmlttee is primarily frmed. NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD ~ SUPPORT MANI GREWAL CITY COUNCIL OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODEIPHONE Attach cntinuatin sheets if necessary FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/27S-3772}

37 Campaign Disclsure Statement Summary Page frm SUMMARY PAGE CALlFORNIAA~n Ja_n_u_a-,ry_1_,_2_0_17 FORM... UU SEE!NSTRUCTIONS ON REVERSE MANI GREWAL FOR CITY COUNCIL DISTRICT 1 thrugh Jun'l 30, 2017 Page I.D. NUMBER 3 13 f s Received 1, Mnetary s... "... "... Schedule A Une 3 2. Lans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS AddUnes Nnmnetary s Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Unes ClumnA TOTAL THIS PERIOD (FROMATTACHEO SCHEDULES) Clumn B TOTAL TO Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 20. s Received 21. Expenditures Made 1/1 thrugh 6/ t Date Expenditures Made 6. Payments Made..... Schedule E, Line 4 7. Lans Made.... Schedule H. Une 3 8. SUBTOTAL CASH PAyMENTS.... Add Lines Accrued Expenses (Unpaid Bills)......,.. ", Schedule F, Line Nnmnetary Adjustment... "... "... Schedule C, Line TOTAL EXPENDITURES MADE AddUnes Current Cash Statement 12. Beginning Cash Balance Previus Summary Page, Una Cash Receipts..... Clumn A, Line 3 abve 14. Miscellaneus Increases t Cash."...,..... Schedule I, Line Cash Payments... "... "... ClumnA, Line 8 abve 16. ENDING CASH BALANCE... Add Lines , then subtract Line 15 If this is a terminatin statement, Line 16 must be zer. 17. LOAN GUARANTEES RECEIVED Schedule B. Pari 2 Cash EqUivalents and Outstanding Debts 18. Cash Equivalents..... See Instructins n reverse Outstanding Debts.... Add Line 2... Line 9 in Clumn B abve T calculate Clumn 8, add amunts in Clumn A t the crrespnding amunts frm Clumn B f yur last reprt. Sme amunts in Clumn A may be negative figures that shuld be subtracted frm previus perid amunts. If this is the first reprt being filed fr this calendar year, nly carry ver the amunts frm Lines 2, 7, and 9 (if any). Expenditure Limit Summary fr State Candidates 22. Cumulative Expenditures Madel< (If Subject t Vluntary expenditure Limit) Date f Electin (mmldd/yy) Ttal t Date "'Amunts in this sectin may be different frm amunts reprted in Clumn S, FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

38 Schedule A Mnetary s Received frm J:.:8::.n:.:u.:::8;!ry_1:.:.' -=2.:::0.:..17~_ SCHEDULE A CALIFORNIA 46ft FORM U MANI GREWAL FOR CITY COUNCIL DISTRICT 1 thrugh June 30, 2017 page_-,-4_ 0/ 1_3_ LD. NUMBER RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * N/A Schedule A Summary OIND OeOM OPTY Osee OIND COM OPTY Osee OIND OeOM OPTY Osee OIND OeOM OPTY Osee OIND OeOM OPTY Osee IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) SUBTOTAL AMOUNT RECEIVED THIS PERIOD 1. Amunt received this perid - itemized mnetary cntributins. (Include all Schedule A subttals.) Amunt received this perid - unitemized mnetary cntributins f less than Ttal mnetary cntributins received this perid. (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Line 1.)... TOTAL CUMULATIVE TO (JAN. 1 - DEC. 31) "'Cntributr Cdes PER ELECTION TO [ND -!ndivldual COM - Recipient Cmmittee (ther than PTY r SeC) OTH - Other (e.g., business entity) PTY - Plitical Party SCC - Small Cntributr Cmmittee FPPC Frm 460 (Jan/2016) FPPC Advice: advice@/ppc.ca.gv (866/ )

39 Schedule B - Part 1 Lans Received Amunts may be,runded cvers frm _-=J-=a",n.:;u;::ary:.L1,-,,-=2::.;0,-,1:.:7_ SCHEDULE 8 - PART 1 CALIFORNIA 460 FORM ON REVERSE thrugh June 3D, 2017 Page MANI GREWAL FOR CITY COUNCIL DISTRICT 1 N/A FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) IF AN INDlVlDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElF EMPlOYED, ENTER AMOUNT PAID I ORIGINAL I RECEIVED THIS OR FORGIVEN PA]DTHIS AMOUNT OF CONTRIBUTIONS NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD LOAN TO -_. PAID RATE FORGIVEN, t INO 0 COM OTH 0 PlY scc DUE D PAID D FORGIVEN -_% RATE INCURRED PER ELECTION",, PER ELECTION... scc,, DUE INCURRED t IND 0 COM OOTH 0 PlY 0 scc, PAID, FORGIVEN DUE, -_% AATE INCURRED PER ELECTiON... SUBTOTALS Schedule B Summary 1. Lans received this perid... (Ttal Clumn (b) plus unitemized lans f less than 100.) 2. Lans paid r frgiven this perid... (Ttal Clumn (c) plus lans under 100 paid r frgiven.) (Include lans paid by a third party that are als itemized n Schedule A.) 3. Net change this perid. (Subtract Line 2 frm Line 1.)... NET Enter the net here and n the Summary Page, Clumn A, Line 2. (May be il neglltive number) tcntributr Cdes lnd -Individual COM - Recipient Cmmittee (ther than PTY r SCC) OTH - Other (e.g., business entity) PTY - Plnical Party sec - Small Cntributr Cmmittee "'Amunts frgiven r paid by anther party als must be reprted n Schedule A. **If required, FPPC Frm 460 (Jan/2016) FPPC Advice: advice@lppc.ca.gv{866/ )

40 Schedule B - Part 2 Lan Guarantrs frm _~Jc::a::.:n.::ua:::ry:.L-1'-'.,..=2::::0.:..17,-- SCHEDULE B - PART 2 CALIFORNIA A 61\ FORM... \I thrugh June 30, 2017 Page 6 LD. NUMBER f 13 MANI GREWAL FOR CITY COUNCIL DISTRICT 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITIEE,ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF eusiness) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO BALANCE OUTSTANDING TO N/A DCOM DpTY Dsee.LENDER PER ELECTION DeOM DpTY Dsee LENDER PER ELECTION DeOM DPTY Dsee LENDER PER ELECTJON DeOM DpTY Dsee LENDER PER ELECTION SUBTOTAL Mer n Summary Page, Une 17 nly, FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

41 Schedule C Nnmnetary s Received frm January 1,2017 SCHEDULE e CALIFORNIAA;~ t\ FORM ~UU SEE JNSTRUCTIONS ON REVERSE EOFFI ER MANI GREWAL FOR CITY COUNCIL DISTRICT 1 thrugh June 30, 2017 Page 7 t. NUMBER f 13 RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMlnEE,ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNT! FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) PER ELECTION TO N/A DeM DpTY Osee COM DpTY see DeM DPTY Osee DeOM OPTY see Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule C Summary 1. Amunt received this perid - itemized nnmnetary cntributins. (Include all Schedule C subttals.) Amunt received this perid - unitemized nnmnetary cntributins f less than "Cntributr Cdes IND - Individual COM - Reciplent Cmmittee (ther than PTY r SeC) OTH - Other (e.g., business entity) PTY - Pl1tical Party 3. Ttal nnmnetary cntributins received this perid. sec - Small Cntributr Cmmittee (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Lines 4 and 10.)... TOTAL FPPC Frm 460 (Jan/20i6) FPPC Advice: advlce@fppc.ca.gv (866/ )

42 Schedule 0 Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees MANI GREWAL FOR CITY COUNCIL DISTRICT 1. frm January 1, 2017 thrugh June 30, 2017 Page 8 SCHEDULE D CALIFORNIAJlli6n FORM... U 1.0. NUMBER f 13 NAME OF CANDI, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (!F R.EQUIREO) AMOUNT THIS PERiOD CUMULAnVE TO (JAN. 1 DEC. 31) PER ELECTION TO N/A Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure SUBTOTAL Schedule D Summary 1. Itemized cntributins and independent expenditures made this perid. (Include all Schedule D subttals.) Unitemized cntributins and independent expenditures made this perid f under Ttal cntributins and independent expenditures made this perid. (Add Lines 1 and 2. D nt enter n the Summary Page.)... TOTAL.. FPPC Frm 460 (Jan/20i6) FPPC Advice: advlce@fppc.ca.gv (866/ )

43 Schedule E Payments Made frm _..:.J=an",u::.:a",ry...;.1-'-., 2=-0=-1:..:7_ SCHEDULE E CALIFORNIAASA FORM... \I thrugh June 30, 2017 Page 9 f NUMBER MANI GREWAL FOR CITY COUNCIL DISTRICT 1 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts ens campaign cnsultants MTG meetings and appearances RFD returned cntributins eta cntributin (explain nnmnetary)* OFC ffice expenses SAL campaign wrkers' salaries eve civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRC candidate travel, ldging, and meals FND fundraisjng events POL pll1ng and survey research TRS staff/spuse travel, ldging, and meals IND independent expenditure supprting/ppsing thers (explain)" POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG lega! defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy apsts (intemet, e~mah) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID N/A '" Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL Schedule E Summary 1. Itemized payments made this perid. (Include all Schedule E subttals.) Unitemized payments made this perid f under Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).) Ttal payments made this perid. (Add Lines 1,2, and 3. Enter here and n the Summary Page, Clumn A, Line 6.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

44 Schedule F Accrued Expenses (Unpaid Bills) frm January 1, 2017 SCHEDULE F CALIFORNIAA60 FORM "+ thrugh June 30, 2017 Page~ f~ CMP CNS CTB CVC FIL FND IND LEG LIT MANI GREWAL FOR CITY COUNCIL DISTRICT 1 If ne f the cdes accu campaign paraphernalia/misc. campaign cnsultants cntributin (explain nnmnetary)* civic dnatins candidate filing/ballt fees fundraising events independent expenditure supprting/ppsing thers (explaln)* legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT yu may member cmmunicatins meetings and appearances ffice expenses petitin CIrculating phne banks plling and survey research pstage, delivery and messenger services prfessinal services (legal, accunting) print ads J.D. NUMBER RAD radi airtime and prductin csts RFD retumed cntributins SAL campaign wrkers' salaries TEL t.v. r cable airtime and prductin csts TRC candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer between cmmittees f the same candidate/spnsr VOT vter registratin WEB infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODECR DESCRIPTION OF PAYMENT (,) OUTSTANDING BALANCE BEGINNING OFTH!S PERIOD (b) (e) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON EJ OF THIS PERIOD NIA. Payments that are cntributins r Independent expenditures must ars be summarized n Schedule D. SUBTOTALS Schedule F Summary 1. Ttal accrued expenses incurred this perid. (Include all Schedule F, Clumn (b) subttals fr. accrued expenses f 100 r mre, plus ttal unitemized accrued expenses under 100.)...INCURRED TOTALS 2. Ttal accrued expenses paid this perid. (Include all Schedule F, Clumn (c) subttals fr payments n accrued expenses f 100 r mre, plus ttal unitemized payments n accrued expenses under 1 00.)... PAID TOTALS 3, Net change this perid. (Subtract Line 2 frm Line 1. Enter the difference here and n the Summary Page, Clumn A, Line 9.)... NET =====::::- MiljI be a negative number FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc,ca.gv (866/ )

45 Schedule G Payments Made by an Agent r Independent Cntractr (n Behalf f This Cmmittee) frm _.::.Ja.:..n.:..u:..:a.:..ry,---,-1:..., 2=-0.:..1.:..7_ SCHEOULEG CALIFORNIA AS'" FORM ~ U MANI GREWAL FOR CITY COUNCIL DISTRICT 1 thrugh _J-,u--,-n:..:e_3-,0-,-, -=2-=0-=17_ Page _1_1_ f 13!.D. NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts CNS campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL cand'idate filing/bal!t fees PHO phne banks TRC candidate travel, ldging, and meals FNO fundraising events POL pl!ing and survey research TRS staff/spuse travel, ldging, and meals INO independent expenditure supprtingjppsing thers (exp!ain)* POS pstage, delivery and messenger services TSF transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VaT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (internet, ) * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITIEE,ALSO ENTER 1.0. NUMSER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAfD N/A. Attach additinal infrmatin n apprpriately labeled cntinuatin sheets... D nt transfer t any ther schedule r t the Summary Page. This ttal may nt equal the amunt paid t the agent r independent cntractr as reprted n Schedule E. TOTAL' FPPC Frm 460 (Jan/2016) FPPC Advice: advlce@fppc.ca.gv (866/ )

46 Schedule H Lans Made t Others' Statement cvers frm J_a_n:...ua:...ry~1..:., :...2-.:.0-.:.17:.-- SCHEDULEH CALIFORNIA 4.()O FORM thrugh June 30, 2017 page~ f~ MANI GREWAL FOR CITY COUNCIL DISTRICT 1 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUM8ER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) I RECEIVED ORIGINAL AMOUNT OF LOAN LOANS TO N/A PAID FORGIVEN --, RATE PER ELECTION**" DUE INCURRED D PAID FORGIVEN --, RATE PER ELECTION... DUE INCURRED *Lans that are cntributins t anther candidate r cmmittee must als be summar1zed n Schedule D. Lans frgiven must als be reprted n Schedule E. SUBTOTALS Schedule H Summary 1. Lans made this perid... (Ttal Clumn (b) plus unitemized lans f less than 100.) 2. Payments received n lans... (Ttal Clumn (c) plus unitemized payments f less than 100.) 3: Net change this perid. (Subtract Line 2 frm Line 1.)... NET (Enter the net here and n the Summary Page, ClumnA, Line 7.) (M" b"",,,u,, "mb"j "If Required FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

47 Schedule I Miscellaneus Increases t Cash frm -ej:..:ac.ṇ_u;;..a",ry_1,-,,_2:..:0-,1.:.7_ SCHEDULE I CALlFORNlAA60 FORM... thrugh June 30, 2017 Page~ f~ 1.0. NUMBER MANI GREWAL FOR CITY COUNCIL DISTRICT 1 RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMM1TIEE, ALSO ENTER 1.0. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH N/A Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Itemized increases t cash this perid... -'- 2. Unitemized increases t cash f under 100 this perid Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e).)... : 4. Ttal miscellaneus increases t cash this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Line 14.)...,... TOTAL FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.ca.gv (866/ )

48 Recipient Cmmittee Campaign Statement Cver Page frm J_U_L_Y_1 c...' _20_1_7 Date f electin if applicable: (Mnth, Day, Year) Date Stamp 1",,") \,; i ; COVER PAGE CALIFORNIA 460 FORM Page 1 f 17 Fr Official Use 0nly thrugh DEC Type f Recipient Cmmittee: All Cmmittees - Cmplete Parts 1. 2, 3, and 4. Officehlder, Candidate Cntrlled Cmmittee State Candidate Electin Cmmittee Recall (Al Cmplete Purl 5) General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee 3. Cmmittee Infrmatin COMMITTEE NAME (OR CANDI'S NAME IF NO COMMITTEE) Primarily Frmed Ballt Measure Cmmittee CntrJled Spnsred (Als Cmplete Part 6) I;ZI Primarily Frmed Candidatel Officehlder Cmmittee (Als Cmpl8te PM 7) 1.0. NUMBER MANI GREWAL FOR MODESTO CITY COUNCIL DIST. 1, Type f Statement: Preelectin Statement QI Semi-annual Statement Terminatin Statement (Als file a Frm 410 Terminatin) Amendment (Explain belw) Treasurer(s) NAME OF TREASURER RONZIPSER MAILING ADDRESS Quarterly Statement Specral Odd" Year Reprt STREET ADDRESS (NO P.O, BOX) CITY MODESTO STATE CA ZIP CODE AREA CODE/PHONE CITY CERES NAME OF ASSISTANT TREASURER, IF ANY STATE CA ZIP CODE AREA CODE/PHONE MAIUNGADORESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX I E"MAllADDRESS OPTIONAl: FAX I E MAll ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statem certify under penalty f perjury under the laws f the State f Califrnia that Executed n Executed n 01/30/ " 01/30/2018 Date pnsible Officer f Spnsr Executed n 0." Prpnent Executed n Date By Signature f Cntrlling Officehlder, Candidate, Stale Measure Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

49 Recipient Cmmittee Campaign Statement Cver Page - Part 2 COVER PAGE - PART 2 5. Officehlder r Candidate Cntrlled Cmmittee NAME OF OFFICEHOLDER OR CANDI MANIGREWAL OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) MODESTO CITY COUNCIL DIST 1 RESIDENTIAUBUS1NESS ADDRESS (NO. AND STREET) CITY STATE ZIP MODESTO CA Primarily Frmed Ballt Measure Cmmittee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE Identify the cntrlling fficehlder, candidate, r state measure prpnent, If any. NAME OF OFFICEHOLDER, CANDI. OR PROPONENT Related Cmmittees Nt Included in this Statement: List any cmmittees nt included in this statement that are cntrlled by yu r are primarily frmed t receive cntributins r make expenditures n behalf f yur candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY COMMITTEE NAME!.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO CQMMITIEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME td. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) 7. Primarily Frmed Candidate/Officehlder Cmmittee List names f fficeh/der(s) r candidate(s) fr which this cmmittee is primarily frmed. NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD ~ SUPPORT MANI GREWAL CITY COUNCIL OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach cntinuatin sheets if necessary FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

50 Campaign Disclsure Statement Summary Page SUMMARY PAGE CALIFORNIAA61\ JU_L_Y_1_,_2_0_17 FORM Af \I frm Mani Grewal fr MOdest City Cuncil Dist 1, 2015 thrugh DEC Page f 1.0. NUMBER s Received 1. Mnetary s... Schedule A, Une 3 2. Lans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines Nnmnetary s Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines ClumnA TOTAL THIS PERIOD (FROM ATIACHED SCHEDULES) Clumn B TOTAL TO Calendar Year Summary fr Candidates Running in Bth the State Primary and General Electins 1/1 thrugh 6/30 7/1 t Date 20. CntrIbutins Received Expenditures Made ---- Expenditures Made 6. Payments Made... Schedule E, Line 4 7. Lans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAyMENTS AddLines Accrued Expenses (Unpaid Bills)... Schedule F, Line Nnmnetary Adjustment Schedule C, Line TOTAL EXPENDITURES MADE AddUnes Expenditure Limit Summary fr State Candidates 22. Cumulative Expenditures Made* (If Subject t Vluntary Expenditure Limit) Date f Electin (mmlddlyy) Ttal t Date Current Cash Statement 12. Beginning Cash Balance Previus Summary Page, Line Cash Receipts Clumn A. Une 3 abve 14. Miscellaneus Increases t Cash Schedule I. Une Cash Payments... Clumn A, Une 8 abve 16. ENDING CASH BALANCE... Add Lines , fhen subtract Line 15 If this is a terminatin statement, Une 16 must be zer. 17. LOAN GUARANTEES RECEiVED... Schedule a, Pari 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents See instructins n reverse T calculate Clumn B, add amunts in Clumn A t the crrespnding amunts frm Clumn B f yur last reprt. Sme amunts in Clumn A may be negative figures that shuld be subtracted frm previus perid amunts. If this is the first reprt being filed fr this calendar year, nly carry ver the amunts frm lines 2, 7, and 9 (if any) * Amunts in this sectin may be different frm amunts reprted in Clumn B. 19. Outstanding Debts... Adci Una 2 + Une 9 in Clumn B abve FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

51 Schedule A Mnetary s Received frm J::.:U::.:L::.:Y:..-1~,.=2::.01.::7 SCHEDULE A CALIFORNIA 4.60 FORM Mani Grewal fr MOdest City Cuncil Dist 1, 2015 thrugh D_E_C_.3_1_2_0_1_7 Page _-,4~_f _1_7_ 1.0. NUMBER RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMM!TIEE, ALSO ENTER LD. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SElf EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO N/A OIND OCOM OPTY Osce OIND OCOM OPTY Osee OIND OeM OPTY Osec OIND COM OPTY Osee OIND OeOM OPTY Osee SUBTOTAL Schedule A Summary 1. Amunt received this perid - itemized mnetary cntributins. (Include all Schedule A subttals.) Amunt received this perid - unitemized mnetary cntributins f less than Ttal mnetary cntributins received this perid. (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Line 1.)... TOTAL *Cntributr Cdes IND - Individual COM - Recipient Cmmittee (ther than PTY r sec) OTH - Other (e.g., business entity) PTY - Plitical Party SCC - Small Cntributr Cmmlttee FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

52 Schedule A (Cntinuatin Sheet) Mnetary s Received Mani Grewal fr MOdest City Cuncil Dist 1, 2015 SCHEDULE A (eont.) CAI..IFORNIA :A6" frm _--,J",U",L=.cY... 1,-" 2,"0,,-,1,,7 FORM... U thrugh DEC Page 5 f _1,-7,--_ I.D. NUMBER RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTCRO'OBEUT*OR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO (IF REQUIREO) NAI DeOM DpTY Osee DCOM DpTY Osee DeOM DpTY Osee DeOM DpTY Osee COM DpTY Osee SUBTOTAL *Cntributr Cdes INO -Individual COM - Recipient Cmmittee (ther than PTY r sec) OTH - Other (e.g., business entity) PTY - Plitical Party sec - Small Cntributr Cmmittee FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

53 Schedule B - Part 1 Lans Received frm J-,-U L Y_1-"'..;:2;.::0-,-17 SCHEDULE B - PART 1 CALIFORNIA 460 FORM thrugh DEC page 6 f NUMBER Mani Grewal fr MOdest City Cuncil Dist 1,2015 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS PERIOD AMOUNT RECEIVED THIS PERIOD 1'1 AMOUNT PAID OR FORGIVEN THIS PERIOD t OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD INTEREST PAID THIS PERIOD ORIGINAL AMOUNT OF LOAN 9 CUMULATIVE CONTRIBUTIONS TO MANIGREWAL MODESTO, CA t~ IND 0 COM OOTH 0 PTV 0 sec SELF EMPLOYED GREWALRE HOLDINGS LLC D PAID D FORGIVEN /31/17 DUE 1.00 % 5000 RA>E /01/16 INCURRED CALENDAR year 500 PER ELECTlON tir PAID 1 0lND 0 COM OOTH 0 PTV 0 sec.----._--- FORGIVEN PAID DUE -_% RATe INCURRED.--- PER ELECTION ** CALENDAR year FORGIVEN -_% RA>E PER ELECTION d t IND 0 COM OOTH 0 PTV 0 sec DUE INCURRED Schedule B Summary SUBTOTALS 1. Lans received this perid... (Ttal Clumn (b) plus un itemized lans f less than 100.) 2. Lans paid r frgiven this perid... (Ttal Clumn (c) plus lans under 100 paid r frgiven.) (Include lans paid by a third party that are als itemized n Schedule A.) 3. Net change this perid. (Subtract line 2 frm line 1.)... NET,,5,,0,,0_ Enter the net here and n the Summary Page, Clumn A, line 2. (May be a negative number) 500 (Enter (e) n Schedule E, line 3) tcntributr Cdes INO -Individual COM - Recipient Cmmittee (ther than PTY r sec) OTH - Other (e.g., business entity) PTY - Plitical Party SCC - Small Cntributr Cmmittee., Amunts frgiven r paid by anther party als must be reprted n Schedule A. U If required. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

54 Schedule B - Part 2 Lan Guarantrs frm _---"J;::U.::L Y-,---,,1,-,2:;:0c;.1e-.7_ SCHEDULE B - PART 2 CALIFORNIA '1161'\ FORM "+ U SEE INSTRUCTiONS ON REVERSE thrugh DEC Page NUMBER f 17 Mani Grewal fr MOdest City Cuncil Dist 1,2015 FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER LD, NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF.EMPLOYED, ENTER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVE TO BALANCE OUTSTANDING TO N/A DeOM DpTY see LENDER PER ELECTION DeOM DPTY Osee LENDER PER ELECTION DeOM DpTY see LENDER PER ELECTION DeOM DpTY Osee LENDER PER ELECTION SUBTOTAL Enlern Summary Page. Line 17 nly. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv{866/ )

55 Schedule C Nnmnetary s Received frm JULY1,2017 SCHEDULEe A SA CAL1FORNIA FORM... U NAME 0 FILER thrugh DEC Page NUMBER f 17 Mani Grewal fr MOdest City Cuncil Dist 1, 2015 RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (JF COMMITTEE, ALSO ENTER 1.0. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) DESCRIPTION OF GOODS OR SERVICES AMOUNTf FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) PER ELECTION TO N/A DeM PlY Dsce DeM PlY see DCOM PlY Osee DeM PlY see Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule C Summary 1. Amunt received this perid - itemized nnmnetary cntributins. (Include all Schedule C subttals.) Amunt received this perid - unitemized nnmnetary cntributins f less than *Cntributr Cdes IND -Individual COM - Recipient Cmmittee (ther than PlY r SCC) OTH - Other (e.g., business entity) PTY - Plitical Party 3. Ttal nnmnetary cntributins received this perid. sec - Small Cntributr Cmmittee (Add Lines 1 and 2. Enter here and n the Summary Page, Clumn A, Lines 4 and 10.)... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc,ca.gv 1866/ )

56 Schedule D Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees frm JUL Y1, 2017 SCHEDULE D CAl..IFORNIAA6A FORM... U Mani Grewal fr MOdest City Cuncil Dist 1,2015 thrugh DEC Page NUMBER f 17 NAME OF CANDI, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION AMOUNT THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO I /J/fJ I D Supprt D Supprt D Supprt D Oppse D Oppse D Oppse D Mnetary D Nnmnetary D Independent Expenditure D Mnetary D Nnmnetary D Independent Expenditure D Mnetary D Nnmnetary D Independent Expenditure SUBTOTAL Schedule D Summary 1. Itemized cntributins and independent expenditures made this perid. (Include all Schedule D subttals.) Unitemized cntributins and independent expenditures made this perid f under Ttal cntributins and independent expenditures made this perid. (Add Lines 1 and 2. D nt enter n the Summary Page.)... TOTAL.. FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ }

57 Schedule 0 (Cntinuatin Sheet) Summary f Expenditures Supprting/Oppsing Other Candidates, Measures and Cmmittees NAME FFL R Mani Grewal fr MOdest City Cuncil Dist 1, 2015 frm JULY1,2017 SCHEDULE D (CaNT.) CALIFORNIAA6A FORM... U thrugh DEC Page 10 f NUMBER NAME OF CANDI, OFFICE,AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE! ;J jlj~ j, Supprt Oppse TYPE OF PAYMENT 0 Mnetary 0 Nnmnetary 0 Independent Expenditure DESCRIPTION AMOUNT THIS PERIOD CUMULATIVE TO (JAN. 1 - DEC. 31) PER ELECTION TO Supprt Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure Supprt Supprt Oppse Oppse 0 Mnetary 0 Nnmnetary 0 Independent Expenditure 0 Mnetary 0 Nnmnetary 0 Independent Expenditure SUBTOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

58 Schedule E Payments Made frm _--=-JU::.L::.Y.:...1.:c,-=2:c:O c: 1c.. 7 SCHEDULE E CALIFORNIAJlSA FORM ~ \I thrugh DEC Page 11 f 17!.D. NUMBER Mani Grewal fr MOdest City Cuncil Dist 1, 2015 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins RAD radi airtime and prductin csts CNS campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PET petitin circulating TEL t.v. r cable airtime and prductin csts FIL candidate filing/ballt fees PHO phne banks TRe candidate travel, ldging, and meals FND IND fundraising events independent expenditure supprting/ppsing thers (explain)" POL POS plling and survey research pstage, delivery and messenger services TRS TSF staff/spuse travel, ldging, and meals transfer between cmmittees f the same candidate/spnsr LEG legal defense PRO prfessinal services (legal, accunting) VOT vter registratin LIT campaign literature and mailings PRT print ads WEB infrmatin technlgy csts (internet, e~mail) NAME AND ADDRESS OF PAYEE {JF COMMITTEE. ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAJD CALIFORNIA SECRETARY OF STATE SACRAMENTO, CA TRI COUNTIES BANK CHICO, SECRETARY OF STATE FEES FIL 200 BANK FEES OFC 180 * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. SUBTOTAL 380 Schedule E Summary Itemized payments made this perid. (Include all Schedule E subttals.) Unitemized payments made this perid f under Ttal interest paid this perid n lans. (Enter amunt frm Schedule B, Part 1, Clumn (e).) Ttal payments made this perid. (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Clumn A, Line 6.)... TOTAL FPPC Frm 460 (lan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

59 Schedule E (Cntinuatin Sheet) Payments Made frm J-,U Lc..:Y--,1.:.., _20,-1 7 SCHEDULE E (CONT.) CALIFORNIAA:cn FORM ~UU Mani Grewal fr MOdest City Cuncil Dist 1, 2015 thrugh DEC Page LD. NUMBER 12 f 17 CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins CNS campaign cnsultants MTG meetings and appearances RFD returned cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PET petitin circulating TEL FIL FND candidate fiiing/baut fees fund raising events PHO POL phne banks plling and survey research TRC TRS IND independent expenditure supprting/ppsing thers (explain)" POS pstage, delivery and messenger services TSF LEG legal defense PRO prfessinal services (legal, accunting) LIT campaign literature and mailings PRT print ads RAD radi airtime and prductin csts t.v. r cable airtime and prductin csts candidate travel, ldging, and meals staff/spuse travel, ldging, and meals transfer between cmmittees f the same candidatejspnsr VOT vter registratin WEB infrmatin technlgy csts (internet, ) NAME AND ADDRESS OF PAYEE {IF COMMITTEE. ALSO ENTER LD. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID / ;vii * Payments that are cntributlns r independent expenditures must als be summarrzed n Schedule D. SUBTOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

60 Schedule F Accrued Expenses (Unpaid Bills) frm J::;U::.;L=-Y,--1:.!., :::2=-01.:.:7'-----_ SCHEDULE F CALIFORNIAASA FORM "+ U thrugh D E-,C-,-.3'-.1;...2_0_1 7_ Page _1_3_ f ~ CMP CNS CTB CVC FIL FND INO LEG LIT Mani Grewal fr MOdest City Cuncil Dist 1,2015 campaign paraphernalia/misc. campaign cnsultants cntributin (explain nnmnetary) civic dnatins candidate filing/ballt fees fundraising events independent expenditure supprting/ppsing thers (explain)* legal defense campaign Hterature and mailings payment, yu may enter the MBR member cmmunicatins MTG meetings and appearances OFC ffice expenses PET petitin circulating PHD phne banks POL plling and survey research POS pstage, delivery and messenger services PRO prfessinal services (Iega/, accunting) PRT print ads!.d. NUMBER Otherwise, the payment. RAD radi airtime and prductin csts RFD returned cntributins SAL campaign wrkers' salaries TEL t. v. r cable airtime and prductin csts TRC candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer between cmmittees f the same candidate/spnsr VOT vter registratin WEB infnnatin technlgy csts (internet, e mail) NAME AND ADDRESS OF CREDITOR (IF COMMlnEE, ALSO ENTER!.D. NUMBER) / j1/ /4 CODE OR DESCRIPTION OF PAYMENT (al OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) (e) (d) AMOUNT INCURRED AMOUNT PAID OUTSTANDING THIS PERIOD THIS PERIOD BALANCE AT CLOSE (ALSO REPORT ON E) OF THIS PERIOD Payments that are cntnbutlns r mdependent expenditures must als be summarized n Schedule O. SUBTOTALS Schedule F Summary 1. Ttal accrued expenses incurred this perid. (Include all Schedule F, Clumn (b) subttals fr accrued expenses f 100 r mre, plus ttal unitemized accrued expenses under 100.)... INCURRED TOTALS 2. Ttal accrued expenses paid this perid. (Include all Schedule F, Clumn (c) subttals fr payments n accrued expenses f 1 00 r mre, plus ttal unitemized payments n accrued expenses under 100.)... PAID TOTALS 3. Net change this perid. (Subtract Line 2 frm Line 1. Enter the difference here and n the Summary Page, Clumn A, Line 9.)...,...,...,...,... "...,...,...,...,..., NET -;;;;====;;;;;;-- May t>e e negative number FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv (866/ )

61 Schedule F (Cntinuatin Sheet) Accrued Expenses (Unpaid Bills) frm _-,J:..:U:..:L:..:Y-,1",-, 2::.0=-1:..:7 th rug DEC h SCHEDULE F (CONT.) CALIFORNIAA60 FORM &f' P.ge~ f~ Mani Grewal fr MOdest City Cuncil Dist 1, 2015 LO. NUMBER CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins CNS campaign cnsultants MTG meetings and appearances CTB cntributin (explain nnmnetary)* OFC ffice expenses CVC civic dnatins PET petitin circulating FIL candidate tilinglballt fees PHO phne banks FND fundraising events POL plling and suivey research IND independent expenditure supprting/ppsing thers (explain)* POS pstage, delivery and messenger services LEG legal defense PRO prfessinal services (legal, accunting) LIT campaign literature and mailings PRT print ads. * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. RAD radi airtime and prductin csts RFD returned cntributins SAL campaign wrkers' salaries TEL t.v. r cable airtime and prductin csts TRe candidate travel, ldging, and meals TRS staff/spuse travel, ldging, and meals TSF transfer between cmmittees f the same candidate/spnsr VOT vter registratin WEB infrmatin technlgy csts (internet, e~mail) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING (!F COMMITTEE,AlSQ ENTER 1.0. NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING OF THIS PERIOD I! ;V 1ft Ca) Cb) AMOUNT INCURRED THIS PERIOD Cel AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) Cdl OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS FPPC Frm 460 (Jan/20i6) FPPC Advice: advice@fppc.c. gv(866/ )

62 Schedule G Payments Made by an Agent r Independent Cntractr (n Behalf f This Cmmittee) frm J_U_L_Y_1..:., _2_01_7 SCHEDULE G CALIFORNIAA60 FORM... Mani Grewal fr MOdest City Cuncil Dist 1,2015 DEC thrugh pag.~ f~ I.D. NUMBER NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If ne f the fllwing cdes accurately describes the payment, yu may enter the cde. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member cmmunicatins ens campaign cnsultants MTG meetings and appearances RFD retumed cntributins CTB cntributin (explain nnmnetary)" OFC ffice expenses SAL campaign wrkers' salaries CVC civic dnatins PET petitin circulating TEL FIL FND IND LEG candidate filing/ballt fees fund raising events independent expenditure supprting/ppsing thers (explain)" legal defense PHO phne banks POL pamng and survey research POS pstage, delivery and messenger services PRO prfessinal services (legal, accunting) TRS TSF LIT campaign literature and mailings PRT print ads * Payments that are cntributins r independent expenditures must als be summarized n Schedule D. RAD radi airtime and prductin csts t.v. r cable airtime and prductin csts TRe candidate travel, ldging, and meals staff/spuse travel, ldging, and meals transfer between cmmittees f the same candidate/spnsr VOT vter registratin WEB infrmatin technlgy csts (internet, e~mail) NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER 1.0. NUMBER) j1jm CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. ~ D nt transfer t any ther schedule r t the Summary Page. This ttal may nt equal the amunt paid t the agent r independent cntractr as reprted n Schedule E. TOTAL' FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/ )

63 Schedule H Lans Made t Others* frm JU_L_Y_1.:.., _20_1_7 SCHEDULEH CALIFORNIA 460 FORM thrugh DEC Page 16 f NUMBER Mani Grewal fr MOdest City Cuncil Dist 1, 2015 FULL NAME, STREET ADDRESS AND ZIP CODE OF RECIPIENT (IF COMMITTEE, ALSO ENTER!.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) OUTSTANDING BALANCE BEGINNING THIS Ib) AMOUNT LOANED THIS PERIOD 10) REPAYMENT OR FORGIVENESS THIS PERIOO* PAID FORGIVEN Id) OUTSTANDING BALANCE AT CLOSE OF THIS I') INTEREST RECEIVED --, eat. I ORIGINAL AMOUNT OF LOAN 10) CUMULATIVE LOANS TO CALENDAR VEAR PER ELECTION"" DUE INCURRED PAID,---- FORGIVEN --, eat. PER ElECTION** DUE INCURRED *Lans that are cntributins t anther candidate r cmmittee must als be summarized n Schedule D. Lans frgiven must als be reprted n Schedule E. SUBTOTALS (Enter (e) n Schedule I, line 3) Schedule H Summary 1. Lans made this perid... (Ttal Clumn (b) plus unitemized lans f less than 100.) **If Required 2. Payments received n lans... (Ttal Clumn (c) plus un itemized payments f less than 100.) 3. Net change this perid. (Subtract Line 2 frm Line 1.)... NET (Enter the net here and n the Summary Page, ClumnA, Line 7.) (M'yb" 00""'" ""mb", FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gv(866/

64 Schedule I Miscellaneus Increases t Cash frm J_U_L_Y_1.c.' 20,--1_7 SCHEDULE I CALIFORNIAA60 FORM.. thrugh --..-:D::.:E::.C=.3:...:1-=2:;0:..:1.:..7_ Page~ f_1_7_ J.D. NUMBER Mani Grewal fr MOdest City Cuncil Dist 1,2015 RECEIVED FULL NAME AND ADDRESS OF SOURCE (IFCOMMITIEE,AlSQ ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additinal infrmatin n apprpriately labeled cntinuatin sheets. SUBTOTAL Schedule I Summary 1. Itemized increases t cash this perid,..., 2, Unitemized increases t cash f under 100 this perid... 3, Ttal f all interest received this perid n lans made t thers. (Schedule H, Clumn (e),)... 4, Ttal miscellaneus increases t cash this perid, (Add Lines 1, 2, and 3. Enter here and n the Summary Page, Line 14,)... '... TOTAL FPPC Frm 460 (Jan/2016) FPPC Advice: advice@fppc,ca.gv(866/ )

65 Recipient Cmmittee Campaign Statement Cver Page frm January 1, 2018 Date Stamp R- C~AVEli MODSTO ern CLERK Dale 01 eleclin if applifbita G - 3 AMII:'!I (Mnth, Day, Year'f COVER PAGE Page Fr Official Use Only thrugh June 30, Type f Recipient Cmmittee: All Cmmittees - Cmplete Parts 1, 2, 3, and4. Officehlder, Candidate Cntrlled Cmmittee State Candidate Electin Cmmittee Recall (A~ Cmpl819 Par/5) General Purpse Cmmittee Spnsred Small Cntributr Cmmittee Plitical Party/Central Cmmittee 3. Cmmittee Infrmatin COMMITTEE NAMfnOffcANDI'S NAME IF N6t6MMftTEE) Mani Grewal fr Mdest City Cuncil Dis!. 1, 2015 Primarily Frmed Ballt Measure Cmmittee Cntrlled Spnsred (Als Cmpla!~ Part 6) I62i Primarily Frmed Candidate! Officehlder Cmmittee (Als Cmplele Pari 7) LD. NUMBER 2. Type f Statement: Preelectin Statement fili Semi~annual Statement Terminatin Statement (Als file a Frm 410 Terminatin) Amendment (Explain belw) Treasurer(s) NAME-OF'-TREASURER Rn Zipser MAILING ADDRESS Quarterly Statement Special Odd-Year Reprt STREETAbbFfES!nNCH:l,--:-ex) CITY Mdest STATE CA ZIP CODE MAILfNGAODRESS (IF OIFFERENTjN.-ANO--STREET OR P.O. BOX AREA CODE/PHONE CITY Ceres NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS STATE ZIP CODE CA AREA CODE/PHONE CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE -AREA-CODE/PHON- :" OPTIONAL: FAXIE~MAi1:'-ji.TjbRESS OPTIONAL: FAX { ADDRESS 4. Verificatin I have used all reasnable diligence in preparing and reviewing this statem certify under penalty f perjury under the laws f the State f Califrnia that Executed n Executed n 07/31/2018 D,1e 07/31/2018 Date e attached schedules is true and cmplete.,,,...m~", "f Cl,,"n~'" Executed n Dale By Signature f Cntrlling Officehlder, Candidate, Slate Measure Prpnent Executed n Date By Signature f Cntrlling Officehlder, Candidate, Stale Measure Prpnent FPPC Frm 460 (Jan/2016) FPPC Advice: advice@lppc.ca.gv (866/ )