HomeMy WebLinkAbout2014_10_23 Form 460 Pre-Election Statement 1 Amendment - Emily Lo Recipient Committee COVER PAGE
Type or print in ink. Date Stamp - '
Campaign Statement � � � � M �
Cover Page ,� U • -
(Government Code Sections 84200-84216.5)
Statement covers period Date of election if applicablage 1 of
from
07/01/2014 (Month, Day, Year) 0 C T 2 3 2014 For Official Use Only
SEE INSTRUCTIONS ON REVERSE through 09/30/2014 11/04/2014 y
1. Type of Recipient Committee: All Committees-Complete Parts t,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 Q Controlled
(Also Complete Part 5) ❑ Termination Statement L] 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/ Added Candidate Loans on Schedule B;
Q Small Contributor Committee Officeholder Committee
Q Political Party/Central Committee (Also Complete Part 7) Added Misc Expense Fees(Bank, Paypal)on Schedule E
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
STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE
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 of the State of California that the foregoing is true and correct.
Executed on /042-3//
0 2.3 l g
D to y
Signature of Treasu6for Assists Treasurer,_,_---.�
Executed on gy �JL,
Dat Signature of Controlling Officeholder,Can i etee,tateMeassVa`roponent r 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/OS)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Type or print in ink. COVERPAGE-PART2
Recipient Committee
Campaign Statement CALIFORNIA
Cover Page—Part 2 FORM 460 ,
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 F-1 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.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE? 7• Primarily Formed Candidate/Officeholder Committee List names of
❑ YES F-1 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
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
COMMITTEE NAME I.D. NUMBER
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/OS)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
State of California
Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE
Amounts may be rounded Statement coverseriod
Summary Page to whole dollars. p •m g I '
from
07/01/2014 101 IN N •
SEE INSTRUCTIONS ON REVERSE through 09/30/2014page_- of A
NAME OF FILER I.D. NUMBER
Re-elect Emily Lo for Saratoga City Council 2014 1368398
Contributions Received Column Column B Calendar Year Summary for Candidates
TATTACHIS PERIOD CALENDAR YEAR Running In Both the State Prima and
(FROM ATTACHED SCHEDULES) TOTALTO DATE g Primary
1. Monetary Contributions ........................................... Schedule A,Line 3 $ 7,291 $ 7,291
General Elections
2. Loans Received ...................................................... Schedule e,Line 3
3,667 3,667 1/1 through 6/30 7i1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ 10,958 $ 10,958 20. Contributions
0 0 Received $ $
4. Nonmonetary Contributions.................................... schedule C,Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 10,958 $ 10,958 Made $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made....................................................... schedule e,Line 4 $ 5,666.79 $ 5,666.79 Candidates
7. Loans Made............................................................. Schedule H,Line 3 0 0
5,666.79 5,666.79 22•Cumulative Expenditures Made'
8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ $ (If Subjectto Voluntary 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 a+s+10 $ 5,666.79 $ 5,666.79 $
Current Cash Statement $
12.Beginning Cash Balance....................... Previous Summary Page,Line 16 $ 0 To Calculate Column B,add
13.Cash Receipts ................................................... Column A,Line 3 above
10,958 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 8above 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 $ 5,291.21 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 s,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)
Type or print in ink. SCHEDULEB-PARTII
Schedule B—Part 1 Amounts may be rounded Statement covers period F-160—Loans Received to whole dollars. 07/01/2014 from 'kI
SEE INSTRUCTIONS ON REVERSE through 09/30/2014 Page 7
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 (°) A (e) (f) (g)
OCCUPATION AND EMPLOYER AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE
OF LENDER BALANCE LOSE O EAT
(IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNT OF CONTRIBUTIONS
(IFCOMMITTEE,ALSO ENTER I.D.NUMBER) NAMEOFBUSINESS) --PERIODPERIOD THIS PER p I 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—
$ 0 $ 2767 $ 0 N/A $ 0 08/04/14 $
t� IND E] COM E] OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
Emily Lo Candidate ❑PAID CALENDARYEAR
Business Owner $ 0 $ 900 0 % $ 900 $ 3667
Saratoga, CA 95070 Motivation PlusFORGIVEN RATE
❑ PER ELECTION**
$ 0 $ 900 $ 0 N/A $ 0 08/24/14 $
t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑PAID CALENDAR YEAR
RATE❑
FORGIVEN PER ELECTION**
t❑ IND ❑COME] $ $ $ $
OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
SUBTOTALS $ 3667$ 0 $ 3667 $ 0
(Enter(e)on
Schedule B Summary Schedule E,Line 3)
1. Loans received this period....................................................................................................................$ 3667
(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. 3667 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)
Lmounts forgiven or paid by another parry also must be reported on Schedule A.
If required. FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
ScheduleA Type or print in ink. SCHEDULE A
Amounts may be rounded
Monetary Contributions Received to whole dollars. Statement covers
period CALIFORNIA
from
07/01/2014 FORM •
through 09/30/2014 Page of 4
SEE INSTRUCTIONS ON REVERSE ge .
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 CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Emily Lo BIND
08/01/2014 ❑COM Candidate 1000 4667
J—]OTH Business Owner
Saratoga, CA 95070 ❑PTY Motivation Plus
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
SUBTOTAL$
Schedule A Summary 'Contributor Codes
1. Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.) $ 6100 COM-Recipient Committee
(other than PTY or SCC)
2. Amount received this period-unitemPTY—Politicall Partmonetary contributions of less than$100 .............................$ 1191 OTH—Other ar business entity)
y
3. Total monetary contributions received this period. SCC-Small Contributor Committee
Add Lines 1 and 2. Enter here and on the Summa Page,Column A, Line 1. 7291
� Summary 9 )....................... TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)
Schedule E Type or print in ink. Statement covers period SCHEDULEE
Payments Made Amounts may be rounded •- , 0 '
to whole dollars. from 07/01/2014 •
SEE INSTRUCTIONS ON REVERSE through 09/30/2014 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.
CNP 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 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)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID
* 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.).............................................................................................................. $ 5,481.93
2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 184.86
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,e,Column A, Line 6. 5666.79
) ............................. TOTAL $
FPPC Form 460(January/05)
FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772)