HomeMy WebLinkAboutFitzsimmons -Form 460 2nd pre-election AMENDMENTRecipient 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.
F*1 Qfficehclder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
V State Candidate Election Committee
ommiftee
O Recall
Controlled
(Also complete Pad 6)
UUU Sponsored
(A&o Compkte Parl 6)
❑ Purpose Committee
Sponsored ❑ Primarily Formed Candidate/
gneral
Small Contributor Committee
Officeholder Committee
Political Party/Central Committee
(Also complete Pang
3. Committee Information
I.D. NUMBER
1432153
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
Fitzsimmons for Saratoga Council 2020
STREET ADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Saratoga
CA
95070
MAILING ADDRESS (IF DIFFERENT) NO.
AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
Saratoga
CA
95070
OPTIONAL: FAX/E-MAIL ADDRESS
COVER PAGE
RECEIVED
Date of election if applicab �',� Pao 1 of 6
(Month, Day, Year �' For -Official Use Only
11/3/2020 ITY OF SARATO A
2. Type of Statement:
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
® Amendment (Explain below)
2nd Pre -Election Amendment: Summary page amended to reflect removal
of $3885.00 filing fees in the amended 1st Pre -Election form
Treasurer(s)
NAME OF TREASURER
Kathleen Fitzsimmons
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
Saratoga CA 95070
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 knowle ge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of prrjury under the laws of the State of California that the foregQin
or Responsible 01117-115p.risor
Executed on BY
Dale Signature of Controlling Officeholder, Candidate, Stale Measure Proponent
Executed on BY
Date Signature of Controlling ORceholtler. 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
Colleen "Kookie" Fitzsimmons
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Saratoga City Council
RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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 forted 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
COVER PAGE - PART 2
Page 2 of 6
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 or
officeholder(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
j
❑ 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
Statement covers period
CALIFORNIA
'
to whole dollars.
Summary Page
from
9/20/2020FORM
•
10/17/2020
Page 3 of 6
SEE INSTRUCTIONS ON REVERSE
throw
9 h
NAME OF FILER
I.D. NUMBER
Fitzsimmons for Saratoga Council 2020
1432153
Column oo
Calendar Year Summary for Candidates
Contributions Received
TOTAL
CALENDAR YEAR
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions...................................................
schedule A. Line 3
$ 3300.00 $
3905.00
0
5100.00
1/1 Through 6/30 7/7 to Date
2. Loans Received................................................................
schedule B, Line 3
3300.00
9005.00
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$ $
Received $ $
4. Nonmonetary Contributions ............................................
schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$ 3300.00 $
9005.00
Made $ $
Expenditures Made
6. Payments Made................................................................
schedule E, Line 4
$ 7541.18
$ 9216.18
7. Loans Made.......................................................................
Schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS .......................................
Add Lines 6+7
$ 7541.18
$ 9216.18
9. Accrued Expenses (Unpaid Bills) ..........................................
Schedule F Line 3
0
0
10. Nonmonetary Adjustment.........................................................
schedule C, Line 3
0
0
11. TOTAL EXPENDITURES MADE....................................Add
Lines 8+9+10
$ 7541.18
$ 9216.18
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 4030.00
13. Cash Receipts........................................................... Column A, Line 3 above 3300.00
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line a 0
15. Cash Payments......................................................... Column A, Line 8above 7541.18
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ -211.18
I/ this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ................................ Schedule8, Part2 $ 0
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See instructions on reverse $ 0
19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ 5100.00
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report. Some
amounts in Column Amay
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 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received to whole uoil.".
Statement covers period
a . , '
from 9/20/2020
a - 0
through 10/17/2020
Page 4 of 6
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
Fitzsimmons for Saratoga Council 2020
14 22153
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF
CONTRIBUTOR
WAN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
"
CODE
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED. ENTER NAME
PERIOD
(JAN.1-DEC. 31)
(IF REQUIRED)
® IND
9/21/2020
Bella Mahoney
❑ COM
n/a
200.00
200.00
200.00
❑ OTH
Hayward, CA 94127
❑ PTY
❑SCC
❑ IND
9/29/2020
Paul Conrado
El COM
Homebuilder
250.00
250.00
250.00
® OTH
Conrado Company
Saratoga, CA 95070
❑ PTY
❑ SCC
m IND
10/l/2020
John Donovan
El COM
n/a
1,000.00
1,000.00
1,000.00
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
[Z IND
10/1/2020
Jon Kwong
❑ COM
n/a
500.00
500.00
500.00
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
®IND
10/1/2020
Angela Lin
An g g
❑ COM
n/a
500.00
500.00
500.00
❑ OTH
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.
Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. 3>300.00
( tY 9 ) ......................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 A (CONT.)
Monetary Contributions Received to whole dollars.
Statement covers period
CALIFORNIA ,
t
from 9/20/2020
• -
through 10/17/2020
Page 5 of 6
NAME OF FILER
I.D. NUMBER
,
Fitzsimmons for Saratoga Council 2020
432153
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. AL50 ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED. ENTER NAME)
PERIOD
(JAN. i -DEC. 31)
(IF REQUIRED)
® IND
10/1/2020
AnilMandava
❑COM
n/a
250.00
250.00
250.00
❑ OTH
Saratoga, CA 95070
❑ PTY
❑ SCC
® IND❑
10/8/2020
Mona Kaur
COM
Director -Human Resources
500.00
500.00
500.00
❑ OTH
ZineOne Inc
Saratoga, CA 95070
❑ PTY
❑ SCC
m IND
10/17/2020
Christopher Coulter
P
El COM
Estate Manager
100.00
100.00
100.00
❑ OTH
Canada Vista
Saratoga, CA 95070
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
SUBTOTAL$
'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 E Amounts may be rounded
Payments Made to whole dollars.
SEE
Fitzsimmons for Saratoga Council 2020
SCHEDULE E
from 9/20/2020
10/17/2020 I page 6 of 6
1432153
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 (internet, e-mail)
NAME AND ADDRESS OF PAYEE
CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
QuicicData Media Inc ( LIT mailer 1 13,770.59
San Jose, CA 95131
QuickData Media Inc I LIT mailer 2 3,770.59
San Jose, CA 95131
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7,541.18
Schedule E Summary
7.541 1R
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $
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.ca.gov (866/275-3772)
www.fppc.ca.gov