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HomeMy WebLinkAbout2014_10_23 Form 460 - Emily Lo (2) Recipient Committee COVERPAGE Campaign Statement Type or print in ink. Date Stamp IKOYA 41 0_ , • ' over Page IT i'l (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: P$ ; –! of from October 1, 2014 (Month, Day,Year) T 3 r& or Official Use Only SEE INSTRUCTIONS ON REVERSE through October 18, 2014 11/04/2014 By 1. Type of Recipient Committee: All Committees-complete Parts f,2,3,and 4. 2. Type of Statement: ® Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall O Controlled (Also Complete Part S) ❑ Termination Statement E] Supplemental Preelection Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 F-1General Complete Part 6)General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER Treasurer(s) 1368398 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Re-elect Emily Lo for Saratoga City Council 2014 Beverly Harada MAILING ADDRESS Saratoga CA 95060 ( CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Saratoga CA 95070 ( MAILING ADDRESS(IF DIFFERENT) NO.AND STREET OR P.O. BOX MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS 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 soft the State of California that the foregoing is true and correct. Executed on �°� �-3 �'1` gy ate Signat a ureror Assistan Tre surer "L,j lCly Executed on By ,( A— ----------- Datft Signature of Controlling Officeholder,Candidate,State Measur roponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE-PART 2 Campaign Statement •' 460 ;� � Cover Page—Part 2 F Page of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Emily Lo OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT Saratoga City Council ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Saratoga, CA 95070 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT 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 OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of ❑ YES 71 NO officeholder(s)or candidate(s)for which this committee is primarily formed. COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT [_1 OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT COMMITTEE NAME I.D. NUMBER E] OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275.3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement cov Summary Page to whole dollars. ers Peri •' ' from October 1,2014 •- • SEE INSTRUCTIONS ON REVERSE through October 18, 2014 Page 3 of -6 NAME OF FILER I.D. NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTO DATE Running in Both the State Primary and 1. Monetary Contributions ........................................... schedule A,Line 3 $ 5,450 $ 12,741 General Elections 2. Loans Received ...................................................... schedule a,Line 3 0 3,667 1/1 through 6/30 7/1 to Date 408 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 5, $ 16, Received $ $ 4. Nonmonetary Contributions.................................... schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...•.......................AddLines3+4 $ 5,450 $ 16,408 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... schedule E,Line 4 $ 8,868.34 $ 14,535.13 Candidates 7. Loans Made............................................................. Schedule H,Line 3 0 0 8,868.34 14,535.13 22• Cumulative Expenditures Made* 8. SUBTOTALCASH PAYMENTS .................................... Add Lines s+7 $ $ (IfSubjecttoVoluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills)...............................schedule F Line 3 0 0 Date of Election Total to Date 10.Nonmonetary Adjustment ..........................................schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 8,868.34 $ 14,535.13 $ Current Cash Statement —�—J $ 12. Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 5,291.21 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 5,450 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash........................... schedule 1,Line 4 from Column B of your last reported in Column B. 15.Cash Payments.................................................. Column A,Line 6 above 5,666.79 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+13+14,then subtract Line 15 $ 5,074.42 figures that should be subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is the first report being filed 17. LOAN GUARANTEES RECEIVED........................... schedule e,Part 2 $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if 18. Cash Equivalents........................................ see instructions on reverse $ 0 any). 19. Outstanding Debts......................... Add Line 2+Line 9 in Column a above $ 0 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule B—Part1 Type or print in ink. SCHEDULEB-PART1 Amounts may be rounded Statement covers period _ CALIF NIA fromFORM Loans Received to whole dollars. October 1, 2014 � 4 • SEE INSTRUCTIONS ON REVERSE through October 18, 2014 Page 4 of NAME OF FILER I.D. NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 FULL NAME,STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING O (b) (d) (e) (f) UL OCCUPATION AND EMPLOYER AMOUNT gMOUNTPAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE BALANCEAT (IFCOMMITfEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAMEOFBUSINESS) PERIOD PERIOD THIS PERIOD* PE RI PERIOD LOAN TO DATE Emily Lo Candidate ❑PAID CALENDARYEAR Business Owner $ 0 $ 2767 0 % $ 2767 $ 3667 Saratoga, CA 95070 Motivation Plus ❑FORGIVEN RATE PER ELECTION— to 2767 $ 0 $ 0 N/A $ 0 08/04/14 $ to IND El COM ElOTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED Emily Lo Candidate ❑PAID CALENDARYEAR Business Owner $ 0 $ 900 0 % $ 900 $ 3667 Saratoga, CA 95070 Motivation Plus ❑FORGIVEN RATE PER ELECTION** $ 900 $ 0 $ 0 N/A $ 0 08/24/14 $ tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑PAID CALENDARYEAR ❑FORGIVEN RATE PER ELECTION** t❑ IND ❑ COM ❑OTH ❑ PTY $ $ $ $ $ ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 0$ 0 $ 3667 $ 0 (Enter(e)on Schedule B Summary Schedule E.Line 3) 1. Loans received this period....................................................................................................................$ 0 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 2. Loans paid or forgiven this period ............ .. . . . .. .. .. . ........................................................................$ 0 IND—individual COM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH-Other(e.g.,business entity) PTY-Political Party 3. Net change this period. Subtract Line 2 from Line 1. 0 SCC-Small Contributor Committee 9 P ( )............................................................... NET $ Enter the net here and on the Summary Page,Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers Monetary Contributions Received to whole dollars. period CALIFORNIA October 1,2014 • from • 2014 SEE INSTRUCTIONS ON REVERSE through October 18, Page of b NAME OF FILER I.D. NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IFCOMMITTEE,ALSOENTERLD.NUMBER) CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) VIIND James Foley ❑COM Engineering and 10/06/2014 DOTH Contractor Consultant, 100 100 Saratoga, CA 95070 ❑PTY James Foley ❑SCC MIND 10/07/2014 Emily Lo ❑COM Candidate 5000 9667 DOTH Business Owner Saratoga, CA 95070 ❑PTY Motivation Plus ❑Scc ®IND Lily Asia ❑COM Program gram Manager, 100 100 DOTH Hewlett Packard Saratoga, CA 95070 ❑PTY ❑scc James Chouw W]IND 10/17/2014 ❑COM Chemist, 250 250 DOTH Aqualab, Inc. Saratoga, CA 95070 ❑PTY ❑SCC ❑IND ❑COM D OTH ❑PTY ❑SCC SUBTOTAL$ 5450 Schedule A Summary 'Contributor Codes 1. Amount received this period-itemized monetary contributions. IND-Individual (Include all Schedule.A subtotals.) $ 5450 COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period-unitemized monetary contributions of less than$100 .............................$ 0 OTH-other(e.g.,business entity) PTY—Political Party 3. Total monetary contributions received this period. SCC-Small Contributor committee (Add Lines 1 and 2. Enter here and on the Summary Page,Column A,Line 1.)....................... TOTAL $ 5450 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule E Type or print in ink. Statement SCHEDULE E covers period •. � from Payments Made Amounts may be rounded • to whole dollars. October 1, 2014 • 1 SEE INSTRUCTIONS ON REVERSE through October 18, 2014 Page " of NAME OF FILER I.D. NUMBER Re-elect Emily Lo for Saratoga City Council 2014 1368398 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/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 PEr 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 VVEB information technology costs(intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Thomas Crail Graphic Design Door Hangers, Mailers, Vinyl Signs, Postage/Mailing, LIT Graphic Design 8,770.14 San Jose, CA 95125 Greg Perry Saratoga Precinct Lists POL 95 Mountain View, CA 94040 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 8,865.14 Schedule E Summary 1. Itemized payments made this period.(Include all Schedule E subtotals.).............................................................................................................. $ 8,865.14 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 3.20 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 $ 8.868.34 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772)