HomeMy WebLinkAboutFITZSIMMONS -2nd pre-election 460Recipient Committee
Campaign Statement
Cover Page
Statement covers period
from 9/20/2020
SEE INSTRUCTIONS ON REVERSE
through 10/17/2020
1. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4.
Q iceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
U State Candidate Election Committee committee
O Recall U Controlled
(X:.comperePat e) O Sponsored
(Aho Compet.Pm(6)
❑ �reral Purpose Committee
V Sponsored ❑ Primarily Formed Candidate/
O Small Contributor Committee Officeholder Committee
0 Political Party/Central Committee (A�.coo*MePed
3. Committee information tA.
NUMBER
Fitzsimmons for Saratoga Council 2020
STREET ADDRESS (NO P.O, BOX)
13735
STATE
ZIPCODE
AREA CODE/PHONE
Saratoga
CA
95070
408-
ADDRESS (IF DIFFERENT) NO.
AND STREET OR P.O. BOX
PO
STATE
ZIP CODE
AREACODE/PHONE
Saratoga
CA
95070
408-
FAX /E-MAILADDRESS
COVER PAGE
RECE ED
Date of election If applicat le: P ge 1 of 6
(Month, Day, Year) I For Official Use On
11/3/2020 iTY OF SARATOG A
2. Type of Statement:
m Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
Kathleen Fitzsimmons
MAILING ADDRESS
PO
STATE ZIP CODE ARE C DE/ HON
Saratoga CA 95070 408-
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 irtormation contained herein and in the attached schedules is true and complete. I
certify under penalty of perj ry uppn'�ci(> i
,7J Go
Executed on _ BY
G ) ale^a ) / natur
$ignat 7. y uontWq no er, an ante, ate eesur oponont or Repo-- car of rponcor
Executed on BY
Date Signature. ontro ing Officehol, late eawre roponern
Executed on BY
DateSignature ofControffing Officehokler, Condidete Stale Measure Proponent
FPPL Form 460 (Jan/2016))
FPPL Advice: advice@fppc.ca.gov (866/275-3772)
www,fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
6. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Colleen "Kookie" Fitzsimmons
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Saratoga City Council
RESIDENTIAUBUSI NESS 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 AREACODE/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 AREACODE/PHONE
Page
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
COVER PAGE - PART 2
of 6
BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT
❑ OPPOSE
Identity 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 nemes of
olf/ceho/der(s) or candidates) 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 /f 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
to whole dollars.
Statement covers period CALIFORNIASummary Page from 9/20/2020 FORM ` •
10/17/2020
Page 3 of 6
SEE INSTRUCTIONS ON REVERSE
through
NAME OF FILER
I.D. NUMBER
Fitzsimmons for Saratoga Council 2020
1432153
Column A
Column B
Calendar Year Summary for Candidates '
Contributions Received
TO TAL THIS PERIOD
CALENDAR YEAR
Running in Both the State Primary and
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
General Elections
1. Monetary Contributions.. ........... ................ ....................
Schedule A, Line 3
$ 3300.00
$ 3,905.00
1/1 through 6/30 7/1 to Date
0
5100,00
2. Loans Received................................................................
Schedule B, Line 3
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lined+2
$ 3300.00
$ 9005.00
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
0
0
21, Expenditures
3300.00
$ 9005.00
Made $ $
5. TOTAL CONTRIBUTIONS RECEIVED ...............................
Add Lines 3 + 4
$
Expenditures Made
6. Payments Made................................................................
Schedule E, Line 4
$ 7541.18
7. Loans Made.. ........................ ............... ............................
Schedule H Line 3
0
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
$ 7541.18
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
0
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
0
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+g+10
$ 7541.18
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 145.00
13. Cash Receipts........................................................... Column A, Line 3 above 3300.00
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0
15. Cash Payments... ...................................................... Column A, Line 8above 3300.00
16, ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 3445.00
If this is a termination statement, Line 16 must be zero.
17, LOAN GUARANTEES RECEIVED ................................ Schedule B. Pall $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents.. ..................... ........................ See instructions on reverse $
19, Outstanding Debts .............................. Add Line 2 +Line gin Column B above $ 5100.00
Expenditure Limit Summary for State
$ 13101.18 Candidates
0
13101.18 22, Cumulative Expenditures Made`
$ (It Subject to voluntary Expenditure Limit)
0
Date of Election Total to Date
0 (mmtdd/yy)
$ 13101.18 '1 1 $
To calculate Column B,
add amounts in Column
A to the corresponding
*Amounts in this section may be different from amounts
amounts from Column B
reported in Column B.
of your fast 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).
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ra.gov (866/275.3772)
www.fppc.ca.gov
RChP_dt11A A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA 460
from 9/20/2020FORM
through 10/17/2020
Page 4 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Fitzsimmons for Saratoga Council 2020
1432153
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CONTRIBUTOR
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE. ALSO ENTER I. D. NUMBER)
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN.i-DEC, 31)
(IF REQUIRED)
9/21/2020
Bella Mahoney
®
❑ IND IND
COM
n/a
200.00
200.00
200.00
❑ OTH
Hayward, CA 94127
❑ PTY
❑ SCC
❑ IND
9/29/2020
Paul Conrado
❑ COM
Homebuilder
250.00
250.00
250.00
Z OTH
Conrado Company
Saratoga, CA 95070
❑ PTY
❑ SCC
® IND
10/1/2020
John Donovan
❑ COM
n/a
1,000.00
1,000.00
1,000.00
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
10/I/2020
Jon Kwong
IND
El
n/a
500.00
500.00
500.00
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
0IND
10/1/2020
Angela Ling
❑COD
n/a
500.00
500.00
500.00
21511
Saratoga, CA 95070
❑ PTY
❑ SCC
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions. 3,300.00
(Include all Schedule A subtotals.) .. ...................... ..................... ........................................................... .$
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 0
3. Total monetary contributions received this period. 3,300.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.). ..................... TOTAL $
'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 (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA ,
from 9/20/2020
FORM !
through 10/17/2020
Page 5 of 6
NAME OF FILER
I. BE
Fitzsimmons for Saratoga Council 2020
1432153
FULL NAME, STREET ADDRESS AND ZIP CODE OF
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
DATE
CONTRIBUTOR
CON*OR
OCCUPATIONAND EMPLOYER
RECENEDTHIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE
CODE
QFSEtF-EMP{OYED.ENTER NAME)
PERIOD
(JAN. t- DEC. 31)
(IF REQUIRED)
10J1/2020
Anil Mandava
MIND ❑COM
n/a
250-�•�
250.00
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
10/8/2020
Mona Kaur
MIND
❑COM
Director -Human Resources
500.00
500.00
500.00
❑ OTH
ZineOne Inc
Saratoga, CA 95070
❑ PTY
❑SCC
10/17/2020
Christopher Coulter
MIND❑COD
Estate Manager
100.00
100.00
100.00
❑ OTH
Canada Vista
Saratoga, CA 95070
❑ PTY
❑SCC
❑ IND
❑COD
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COD
❑ OTH
❑ PTY
SC
SUBTOTALS
'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 E Amounts may be rounded
Payments Made to whole dollars.
SEE
Fitzsimmons for Saratoga Council 2020
statement covers
from 9/20/2020
through 10/17/2020 I Page 6
1432153
Of6
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 filingiballot 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 (internal, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
QF COMMITTEE, ALSO ENTER I.D. NUMBER)
QuickData Media Inc I LIT mailer 1 3,770.59
1701 Fortune Drive, Suite D, San Jose, CA 95131
QuickData Media Inc I LIT ( mailer 2 13,770.59
1701 Fortune Drive, Suite D, San Jose, CA 95131
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL f 7,541.18
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 7,541.18
2. Unitemized payments made this period of under$100................................................................................................................................... 0
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ 0
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)........................... TOTAL $ 7,541.18
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.co.gov (866/275-3772)
www.fppc.ca.gov