HomeMy WebLinkAboutPAQUIER 2nd pre-election 460COVER PAGE
Recipient Committee Date Stamp _
Campaign Statement RECEIVE® '
Cover Page
Statement covers period
from Sept. 20, 2020
SEE INSTRUCTIONS ON REVERSE I through Oct. 17, 2020
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
Z Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
(Also Complete Part 5)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 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 I)
3. Committee Information I.D. NUMBER
1433505
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Renee Paquier for Saratoga City Council 2020
STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREACODE/PHONE
Saratoga CA 95070 510-396-6046
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
Nov. 03, 2020 1
0C "� 2 ?
CITY OF SARATOGA
2. Type of Statement:
WI Preelection Statement
❑ Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Page 1 of 9
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
Farrah Avari
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/PHONE
Morgan Hill CA 95037
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREACODE/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.
10/20/2020
Executed on _ By —
Executed on 10/20/2020
Date
Executed on
Date
Executed on
Date
By
By
or
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Renee Paquier
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
City Council Member, Saratoga, Santa Clara County
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listany 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 I CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
NAME OF TREASURER
I.D. NUMBER
❑ YES ❑ NO
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 9
6. Primarily Formed Ballot Measure Committee
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 Listnames 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 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement
Amounts may be rounded
SUMMARY PAGE
Summary Page
g
to whole dollars.
Statement covers period
, '
from Sept. 20, 2020
•
through Oct. 17, 2020
Page 3 of 9
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Renee Paquier for Saratoga City Council 2020
1433505
Column A
Column B
Calendar Year Summary for Candidates
Contributions Received
TOTAL THIS PERIOD
CALENDAR YEAR
Running in Both the State Primary
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
and
General Elections
1. Monetary Contributions...................................................
Schedule A, Line 3
$
4200
$ 5,000
1/1 through 6/30 7/1 to Date
2. Loans Received................................................................
Schedule e, Line 3
5,000
4200
10,000
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
$
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$
4200
$ 10,000
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made................................................................
Schedule E, Line 4
$
0
$ 0
Candidates
7. Loans Made.......................................................................
Schedule H, Line 3
22. Cumulative Expenditures Made"
8. SU BTOTAL CASH PAYMENTS .......................................
Add Lines 6 + 7
$
$
(If Subject to Voluntary Expenditure Limit)
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
(mm/dd/yy)
11. TOTAL EXPENDITURES MADE....................................Add
Lines s+9+10
$
$
J $
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16
$ 800
13. Cash Receipts........................................................... Column A, Line 3 above
4200
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
0
15. Cash Payments......................................................... Column A, Line s above
0
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract line 15
$ 5000
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule e, 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).
'Amounts in this section may be different from amounts
-eported in Column B.
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A
Monetary Contributions Received
Amounts may be rounded
to whole dollars.
Statement covers
from Sept. 20, 2020
SCHEDULE A
through Oct. 17, 2020
Page 4 Of 9
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Renee Paquier for Saratoga City Council 2020
1433505
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
m IND
9/22/2020
S.J. Simitian
El
Supervisor, Santa Clara
250
250
❑ OTH
County
Palo Alto, CA 94303
❑ PTY
❑ SCC
m IND
9/23/2020
John Costa
❑ COM
Retired
100
100
,
❑ OTH
San Jose, Ca 95128
❑ PTY
❑ SCC
Z IND
9/25/2020
Paul Conrado
❑ COM
Exec. Chairman
250
250
❑ OTH
The Conrado Company, Inc
Saratoga, CA 95070
❑ PTY
❑ SCC
m IND IND
10/02/2020
Fang Pei
❑
Retired
500
500
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
Z IND
10/07/2020
Stilla Raissi
❑ COM
Real Estate Agent
200
200
❑ OTH
Coldwell Banker Realty
Saratoga, Ca 95070
❑ PTY
❑ SCC
SUBTOTAL $ 1300
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 $100
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.).......
4200
.................$
.................$
....TOTAL $ 4200
*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 (1an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA
460
from Sept. 20, 2020
FORM
through Oct. (-2020
Page 5 of 7
NAME OF FILER
I.D. NUMBER
Renee Paquier for Saratoga City Council 2020
1433505
FULL NAME, STREETADDRESS AND ZIP CODE OF
[FAN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
Z IND
10/07/2020
Ralph McKay
❑ COM
Professor, San Jose State
100
100
14684
University
Saratoga, CA 95070
❑ PTY
❑ SCC
m IND
10/07/2020
Linda Starek
❑ COM
Retired
250
250
13795
Saratoga, CA 95070
❑ PTY
❑ SCC
Z IND
10/07/2020
Sara Tajik
❑ COM
Hair Stylist
200
200
18312
Izabelz Salon
Saratoga, CA 95070
❑ PTY
❑ SCC
IND
10/07/2020
Mahboubeh Moazeni
❑ COM
Retired
500
500
21781
Saratoga, CA 95070
❑ PTY
❑ SCC
Z IND
10/07/2020
Sharareh Ghahremani
❑ COM
Physician Assist.
500
500
233
SJ ENT
San Jose, CA 95119
❑ PTY
El SCC
SUBTOTAL $ 1,550
*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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
.
from Sept. 20, 2020
• .1
through Oct. !(i(" 2020
6
Page of 9
NAME OF FILER
I.D. NUMBER
Renee Paquier for Saratoga City Council 2020
1433505
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
m IND
10/07/2020
Mojgan Momeni
❑ COM
Director
250
250
❑ OTH
World Innovation Network
Redwood City, Ca 94065
❑ PTY
❑ SCC
Z IND
10/07/2020
Ken Colson
❑ COM
Retired
100
100
❑ OTH
San Jose, Ca 95128
❑ PTY
❑ SCC
m IND
10/07/2020
Patrick Ahrens
❑ COM
Trustee
100
100
❑ OTH
Foothill -De Anza
Cupertino, CA 95014
❑ PTY
Community College District
❑ SCC
m IND
10/07/2020
Razieh Oghabian
❑ COM
Sr. Program Manager
500
500
❑ OTH
Xilix
San Jose, Ca 95124
❑ PTY
❑ SCC
Z IND
10/07/2020
Behindokht Noormanesh
El
Director
200
200
❑ OTH
West Valley College
Campbell, Ca 95008
❑ PTY
SCC
SUBTOTAL $ 1,150
*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
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA
from Sept. 20, 2020
I
FORM
through Oct. 17, 2020
Page 7 of 9
NAME OF FILER
I.D. NUMBER
Renee Paquier for Saratoga City Council 2020
1433505
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
Z IND
10/07/2020
Maryam Fard
❑ COM
Counselor
200
200
❑ OTH
West Valley College
Los Gatos, Ca 95124
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
SUBTOTAL $ 200
`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
SCHEDULE B - PART 1
Schedule B — Part 1�to whole dollars.
Loans Received
Statement covers period
from Sept. 20, 2020
CALIFORNIA
• -
SEE INSTRUCTIONS ON REVERSE
through Oct. 17, 2020
page 8 of 9
NAME OF FILER
I.D. NUMBER
Renee Paquier for Saratoga City Counci12020
1433505
FULL NAME, STREET ADDRESS AND ZIP CODE
OF LENDER
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
OUTSTANDING
BALANCE
BEGINNING THIS
PERIOD
AMOUNT
RECEIVED THIS
PERIOD
AMOUNT PAID
OR FORGIVEN
THIS PERIOD*
OUTSTANDING
BALANCE AT
CLOPERIOD HIS
INTEREST
PAID THIS
PERIOD
ORIGINAL
AMOUNT OF
LOAN
CUMULATIVE
CONTRIBUTIONS
TO DATE
❑ PAID
CALENDAR YEAR
Renee Paquier
Academic Dean
$
$ 5000
0 %
$ 5000.00
$ 5000.00
❑ FORGIVEN
$
PER ELECTION
$
21352 Saratoga Hills Rd
Saratoga, Ca 95070
t ® IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
West Valley College
5000.00
$
0
$
RATE
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION—
RATE
t ❑ IND ❑ COM ❑ OTH ❑PTY ❑SCC
$_
$
$
$
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
PER ELECTION"
RATE
T ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE DUE
DATE INCURRED
SUBTOTALS $ $ $ $
Schedule B Summary
1. Loans received this period..........................................................................
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period...............................................................
(Total Column (c) plus loans under $100 paid or forgiven.)
(Include loans paid by a third party that are also itemized on Schedule A.)
3. Net change this period. (Subtract Line 2 from Line 1.) .............................
Enter the net here and on the Summary Page, Column A, Line 2.
*Amounts forgiven or paid by another parry also must be reported on Schedule A.
** If required.
.......................................... $
.......................................... $
0
0
................................. NET $ 0
(May be a negative number)
(Enter (e) 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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
Renee Paquier for Saratoga City Council 2020
Amounts may be rounded
to whole dollars.
SCHEDULE E
Statement covers period
from Sept. 20, 2020
through Oct. 17, 2020 I Page 9 of 9
1433505
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphemalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (intemet, e-mail)
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................
2. Unitemized payments made this period of under$100.........................................................................................................................
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) .......................
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov