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HomeMy WebLinkAboutForm 460 - Mary-Lynne Bernald -2015Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE COVER PAGE Type or print in ink. Statement covers period from 1/01/2015 through 3/9/2015 Date of election if applicable: (Month, Day, Year) 11/4/2015 i Date Stamp MUNI L UNI NI; 12 CALIFORNIA 460 FORM age 1 of For Official Use Only 1. Type of Recipient Committee: All Committees —Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee O Recall (Also Complete Part 5) E General Purpose Committee O Sponsored 0 Small Contributor Committee O Political Party/Central Committee ❑ Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: ❑ Preelection Statement ❑ Semi-annual Statement ® Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) E Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement -Attach Form 495 3. Committee Information I.D. NUMBER 1365458 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Mary -Lynne Bernald for Council 2014 STREET ADDRESS (NO P.O. BOX) CITY Saratoga STATE ZIP CODE CA 95070 AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY Saratoga OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE CA 95070 AREA CODE/PHONE Treasurer(s) NAME OF TREASURER Judy L. Johnstone MAILING ADDRESS CITY Saratoga NAME OF ASSISTANT TREASURER, IF ANY STATE ZIP CODE CA 95070 AREA CODE/PHONE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on L kc-,,tir a ( O1 Date Executed on 3 I 10 I a Q[ Date Executed on Date Executed on Date By By By By Signature of Signature of Treasurer or AssaantTreasurer /� l ptrolling eholder, Candida%, State easure Proponentor Responsible cerofSponsor Signature of Controlling Officeholder, Candidate, State Measure Proponent Signature otControllirg Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Mary -Lynne Bernald OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Saratoga CA 95070 Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ 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? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE-PART2 CALIFORNIA 460 FORM NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD• SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD • SUPPORT • OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275.3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE Type or print in ink. Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from 1/01/2015 through 3/9/2015 CALIFORNIA 460 FORM Page 3 of CP NAME OF FILER h0,c LLA rre t- e.c-cNo• Cmc.) r Co %..).-.-c\ ao \,* Contributions Received 1. Monetary Contributions 2. Loans Received 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions 5. TOTALCONTRIBUTIONS RECEIVED Schedule A, Line 3 Schedule B, Line 3 Add Lines 1 + 2 Schedule C, Line 3 Add Lines 3 + 4 I.D. NUMBER 1365458 Column A TOTAL THIS PERIOD (FRO MATTACHED SCHEDULES) Column B CALENDAR YEAR TOTALTO DATE $ 50.00 $ 9790.00 -3504.89 1262.11 $ -3454.89 $ 11052.11 0 136.91 $ -3454.89 $ 11189.02 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ 21. Expenditures Made $ 1/1 through 6130 $ 7/1 to Date Expenditures Made 6. Payments Made Schedule E, Line 4 $ 7. Loans Made Schedule H, Line3 8. SUBTOTAL CASH PAYMENTS Add Lines 6 + 7 $ 9. Accrued Expenses (Unpaid Bills) Schedule F, Line3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 0 $ 11170.11 0 0 0 $ 11170.11 0 0 0 136.91 0 $ 11307.02 Current Cash Statement 12. Beginning Cash Balance 13. Cash Receipts Previous Summary Page, Line 16 Column A, Line 3 above 14. Miscellaneous Increases to Cash Scheduler, Line4 15. Cash Payments Column A, Line 9 above 16. ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. $ 3336.89 -3454.89 118.00 3454.89 $ 0 17. LOAN GUARANTEES RECEIVED Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents See Instructions on reverse 19. Outstanding Debts Add Line 2 + Line 9 in Column B above $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) edule A Type or print in ink. SCHEDULE A Amounts mayberounded Monetary Contributions Received to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period from 1/01/2015 CALIFORNIA FORM Page 46 0 // 4 of to through 3/9/2015 NAME OF FILER Mcs.:(. y _ L(.1- c, Q. 4e._,C•Clo-\ Ck - r Cov.se, e. \ .D.--014- I.D. NUMBER 1365458 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) ■ IND ■ COM • OTH • PTY ■ SCC ■IND ■ COM MOTH • PTY O SCC ■ IND ❑COM • OTH • PTY ■ SCC • IND ■ COM • OTH • PTY ■ SCC ■IND ■ COM • OTH • PTY ■ SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 2. Amount received this period—unitemized monetary contributions of less than $100 $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ 0 50.00 50.00 *Contributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 666/ASK-FPPC (866/2753772) SCHEDULE B-PART1 Schedule B — Part 1AmountsVmay1beIrounded Loans Received to whole dollars. SEE INSTRUCTIONS ON REVERSE from through Statement covers period 1/01/2015 CALIFORNIA 460 FORM Page 5 of 3/9/2015 NAME OF FILER Mcir_ L-t'n`ne._ 2XX''c>0.\ 6cor Cot-k.rck\ a._0\`4 I.D. NUMBER 1365458 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF COMMITTEE, ALSO ENTERI.D. NUMBER) IF AN INDIVIDUAL, ENTER OCCUPATION NAME OF BUSINESS) (a) OUTSTANDING BALANCER BEGINNING THIS PERIOD (b) AMOUNTAMOUNT RECEIVED THIS PERIOD (c) PAID OR FORGIVEN THIS PERIOD" (d) OUTSTANDING AT CLOSE BALANOFETHIS PERIOD (e) INTEREST PAID THIS PERIOD (1) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE Mary -Lynne Bernald t® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC community volunteer $ 4767.00 $ 0 ®PAID $ 3504.89 $ 1262.11 $ ,,p $ 4767.00 CALENDAR YEAR $ 0 FORGIVEN $ RATE various PER ELECTION** $ DATE DUE DATE INCURRED t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ ❑ PAID $ $ $ % $ CALENDAR YEAR $ ❑ FORGIVEN $ RATE PER ELECTION"" $ DATE DUE DATE INCURRED t❑ IND 0 COM ❑ OTH 0 PTY ❑ SCC $ $ ❑ PAID $ $ $ % $ CALENDAR YEAR $ ❑ FORGIVEN $ RATE PER ELECTION"" $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ Schedule B Summary 1. Loans received this period $ 0 (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period $ 3504.89 (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ -3504.89 Enter the net here and on the Summary Page, Column A, Line 2. (May beanegative number) `Amounts forgiven or paid by another party also must be reported on Schedule A. "* If required. nter te) on Schedule E, Line 3) tContributor Codes IND—Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC —Small Contributor Committee FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2753772) SCHEDULE I Miscellaneous Increases to Cash Amounts maybe rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period 1/01/2015 from CALIFORNIA 460 FORM through 3/9/2015 Page 6 of 4 NAME OF FILER Mo..r �- Lyme. \3e-scr\c \ a co CoL..1 c \ a°\y� I.D. NUMBER 1365458 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCEAMOUNT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT OF INCREASE TO CASH 1/13/2015 City of Saratoga refund of excess candidate statement fee $118.00 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 118.00 Schedule I Summary 1. Itemized increases to cash this period. $ 2. Unitemized increases to cash of under $100 this period. $ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) $ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Line 14.) TOTAL $ 118.00 118.00 0 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/2754772)