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HomeMy WebLinkAbout2014_10_06 Form 460 - Mary-Lynne Bernald Recipient Committee Type or print in ink. Date Stam COVER PAGE Campaign Statement • ' A Cover Pagela!;., (Government Code Sections 84200-84216.5) 13 Statement covers period Date of election if applicable: �CT 6 [v`Y of from7/1/2014 (Month, Day, Year) Official Use Only By SEE INSTRUCTIONS ON REVERSE through 9/30/2014 11/4/2014 — 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement Qj Quarterly Statement Q State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall Q Controlled Termination Statement ❑ Also file a Form 410 Termination ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored ( ) Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment (Explain below) Q Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 1365458 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Mary-Lynne Bernald for Council 2014 Judy L Johnstone MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 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 STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 OPTIONAL: FAX / E-MAIL ADDRESS OPTIONAL: FAX /E-MAIL ADDRESS jljohnstone@sbcglobal.net 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 101 ' OtoRy—_ I Date gnatureofTreasur or AssistantTreasurer Executed on 1 (n 1 aO By Date Signature(jntrolliroCifficeholder,Candidate,State Measure Pro ponentor Responsible Office r of Sponsor Executed on BY Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature otControlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA Campaign Statement FORM Cover Page—Part 2 Page 2 of 5. Officeholder or Candidate Controlled Committee S. Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Mary-Lynne Bernald OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO,OR LETTER JURISDICTION ❑ SUPPORT Saratoga City COuncil I I F-1 OPPOSE RESIDENTIAUBUSINESS 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 OFTREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (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 ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(June/01) FPPC TolWree Helpline:866/ASK-FPPC State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Amounts may be rounded Statement covers period • - Summary Page to whole dollars. ' from 7/1/2014 • SEE INSTRUCTIONS ON REVERSE through 9/30/2014 page 3 of NAME OF FILER I.D. NUMBER Mary-Lynne Bernald for Council 2014 1365458 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Running in Both the State Prima and (FROMATTACHEDSCHEDULES) TOTAL TO DATE g Primary 00 1. Monetary Contributions ........................................... schedule A,Line 3 $ 6267. $ 9142.00 General Elections 2. Loans Received ...................................................... Schedule 8,Linea 2767.00 4767.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines I+2 $ 9034.00 $ 13909.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Line 136.91 136.91 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 9170.91 $ 14045.91 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made schedule E,Line $ 5831.52 $ 6476.52 Candidates 7. Loans Made............................................................. schedule H,Line 3 0 0 5831 52 6476.52 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+7 $ $ (if sub)ecttoVoluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................schedule F,,Line 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment..........................................Schedule C,Line 136.91 136.91 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ 5968.43 $ 6613.44 _1 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page,Line 16 $ 4230.00 To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3above 9034.00 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........................................... 5831.52 report. Some amounts in Column A,Line a above Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+ 13+ 14,then subtract Line 15 $ 7432.48 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 B,Part $ 0 for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2, 7,and 9(if any). 18. Cash Equivalents........................................ see instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 767< FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) ScheduleA Type or print in ink. SCHEDULE A Moneta Contributions Received Amounts may be rounded Statement covers period Monetary to whole dollars. 7/1/2014 - • ' from SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page _of NAME OF FILER I.D. NUMBER Co u,..v,CA 1365458 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,ALSO ANDI.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) 7/1/2014 Alan Portnoy ®IND retired $100.00 $100.00 ❑COM ❑PTY ❑SCC 7/1/2014 Len Almalech 91INDretired $500.00 $500.00 Ficom 7 PTY []SCC 7/3/2014 Terry Cabrinha EIIND retired teacher $100.00 $100.00 ❑PTY ❑SCC 7/9/2014 Laurel Perusa ®]COM IND retired $100.00 $100.00 ❑PTY ❑SCC 7/12/2014 Jim and Charlotte Lafferty OCOM IND aircraft sales $100.00 $100.00 ❑PTY ❑SCC SUBTOTAL$ 900.00 Schedule A Summary *Contributor Codes 1. Amount received this period—contributions of$100 or more. IND—Individual (Include all Schedule A subtotals.) $ 5-a0%-C'0 COM—Recipient Committee (other than PTY or SCC) 2. Amount received this period unitemized contributions of less than 100 $ 10511 OTH—Other p $ PTY—Political Party 3. Total monetary contributions received this period. SCC—S mall Contributor Committee (Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Line 1.).......................TOTAL $ &aG7,FJ O FPPC Form 460 (Junel01) FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 7/1/2014 • • • • ' from through 9/30/2014 page of Z3 NAME OF FILER I.D.NUMBER 1365458 STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE FULL NAME, RECEIVED ( COMMITTEE,ALSO ENTER ZIP .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) 7/12/2014 Grace Sanfilippo ®❑IoM IND retired $100.00 $100.00 ❑PTY ❑SCC 7/15/2014 Bob and Patty Weisman ®IND[]COMretired $100.00 $100.00 M PTY ❑SCC 7/15/2014 Sara Wigh McManis ®❑IoM IND legal administrative $250.00 $250.00 ❑PTY Wigh Consuling ❑SCC 7/15/2014 Paul R. Conrado ®❑IoM IND homebuilder $250.00 $250.00 ❑PTY ❑SCC 7/16/2014 David Reis MMIND IND retired $250.00 $250.00 M PTY ❑SCI SUBTOTAL$ 950.00 'Contributor Codes IND-Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other PTY—Political Party FPPC Form 460 (June/0 SCC—Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , . to whole dollars. 7/1/2014FORM CLIFONIA • from through 9/30/2014 Page of 13 NAME OF FILER I.D.NUMBER L,jr�c.� dere\ck -�oc- CC".xrc'\ a01t{ 1365458 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,ALSOAND ZIP .D.N DEO CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) 7/18/2014 Sheila Brown R]COM IND community volunteer $100.00 $100.00 ❑PTY ❑sCC 7/21/2014 Rosalie Cacitti ®IND retired $200.00 $200.00 ❑COM ❑PTY © ❑scc 7/19/2014 Cindy Ruby ❑pcOM IND community volunteer $200.00 $200.00 ❑PTY []SCC 7/31/2014 Barry and Margaret Patrick g]INDlawyer $100.00 $100.00 ❑PTY Patrick © ❑scc 731/2014 Joe Simitian ®IND County Supervisor $100.00 $100.00 EICOM ❑PTY ❑scc SUBTOTAL$ 700.00 "Contributor Codes IND-individual COM—Recipient Committee (other than PTY or SCC) OTH—Other PTY—Political Party FPPC Form 460 (June/01) SCC—Small Contributor Committee FPPC Toll-Free Helpline: 866/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , • . to whole dollars. 7/1/2014 • , from through 9/30/2014 page of NAME OF FILERn I.D.NUMBER P-- Qe�C�a\a 'YOB C'0 PO\y- 1365458 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) 8/17/2014 Bar Fernald ®IND Architect $200.00 $300.00 Barry ❑COM ❑PTY ❑SCC 8/19/2014 Sal Ruiz ®IND❑COM real estate broker $100.00 $100.00 ❑PTY 0 ❑SCC, 9/1//2014 Judy Keeley and Stephan McKeown PCOM IND retired $100.00 $100.00 ❑PTY ❑SCC 9/1/2014 Dorothy and Vaughan Marian RJCOM IND retired $100.00 $100.00 ❑PTY © ❑SCC 9/5/2014 James W Foley ®IND consultant $100.00 $100.00 ❑PTY ❑SCC SUBTOTAL$ 600.00 *Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other PTY—Political Party FPPC Form 460 (June/01) SCC—Small Contributor Committee FPPC TolWree Helpline: 666/ASK-FPPC Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period , e . , ' to whole dollars. 7/1/2014 from through 9/30/2014 Pgage NAME OF FILER I.D.NUMBER Mary-Lynne Bernald 1365458 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMITTEE,ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF•EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) IND 9/9/2014 Marte Formico ❑®IoM District Manager/Farmers $100 ❑OTH Insurance CO ❑PTY ❑sCC Linda R Rodgers ❑COM Attorney/Linda R Rogers 9/4/2014 ❑OTH Atttorney at Law $100 ❑PTY ❑SCC Hopkins Guy ZINDE]COAttorney/Baker Botta 9/18/2014 ❑OTH $200 ❑PTY ❑SCC James Sorden MIND retired 9/16/2014 ❑OTH $1000 ❑PTY ❑SCC Pragati Grover mIND COhomemaker 9/14/2014 ❑❑COM $100 OTH ❑PTY ❑SCC SUBTOTAL$ 1500 'Contributor Codes IND—individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period CALIFORNIA to whole dollars. 7/1/2014 FORM • 1 from through 9/30/2014 Page of 13 NAME OF FILER I.D.NUMBER Mary-Lynne Bernald -dor C0111)cI aC)\`k 1365458 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED {E COMMITTEE, S AND .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) IND Larry and Grace Jens ®❑COM retired 9/14/2014 ❑OTH $100.00 ❑PTY ❑SCC Joseph F Ruiz ®IOM IND Attorney/Joseph Ruiz 9/13/2014 [:]OTH Attorney at Law $125.00 $375.00 ❑PTY ❑SCC Tri Hong ®IND COM architect/TDH Design 9/19/2014 ❑OTH $333.00 ❑PTY ❑ScC ❑IND ❑COM ❑OTH ❑PTY ❑SCC []IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ 558.00 'Contributor Codes IND—Individual COM—Recipient Committee (other than PTY or SCC) OTH—Other(e.g., business entity) PTY—Political Party FPPC Form 460(January/05) SCC—Small Contributor Committee FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) Type or print in ink. SCHEDULEB-PART1 Schedule B—Part 1 Amounts may be rounded Statement covers period , Loans Received to whole dollars. from 7/1/2014 - SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page_j_� of 13 NAME OF FILER I.D. NUMBER Mary-Lynne Bernald for Council 2014 1365458 IF AN INDIVIDUAL, ENTER a (b) (c) (d) (e) (B) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNTAMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER OF LENDER BALANCE RECEIVED THIS BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF SELF-EMPLOYED,ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAMEOFBUSINESS) P RI D PERIOD THIS PERIOD" PERIOD PERIOD LOAN TO DATE Mary-Lynne Bernald community volunteer ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION— $ 2000.00 $ 2767.00 $ $ 0 3/17/201 $ tZ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED PAID CALENDARYEAR ❑FORGIVEN RATE PER ELECTION- t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION*" tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATEDUE DATE INCURRED SUBTOTALS $ 2767.00 $ 0 $ 4767.00 $ 0 (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ 2767.00 (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes 0 IND—Individual 2. Loans paid or forgiven this period .........................................................................................................$ 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 NET $ 2767.00 SCC—Small Contributor Committee Enter the net here and on the Summary Page,Column A,Line 2. (Maybe 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 C Type or print in ink. SCHEDULE C Amounts may be rounded Statement covers period 7/1/2014 Nonmonetary Contributions Received to whole dollars. CALIFORNIA 460 from FORM through 9/30/2014 Page 11 of i3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Mary-Lynne Bernald for Council 2014 1365458 IF AN INDIVIDUAL,ENTER AMOUNT/ CUMULATIVE TO PER ELECTION FULL NAME,STREET ADDRESS AND CONTRIBUTOR DESCRIPTION OF DATE DATE OCCUPATION AND EMPLOYER FAIR MARKET TO DATE RECEIVED ZIP CODE OF CONTRIBUTOR CODE * (IF SELF-EMPLOYED,ENTER GOODS OR SERVICES VALUE CALENDAR YEAR (IF REQUIRED) (IF COMMITTEE,ALSO ENTER I.D.NUMBER) NAME OF BUSINESS) (JAN 1-DEC 31) 9/11/2014 Eugene R Bernald ® AgC® IND sales baseball caps ❑PTY ❑SCC ❑IND ❑COM [_10TH ❑PTY ❑SCC ❑IND ❑COM ❑0TH ❑PTY []SCC ❑IND ❑COM ❑0TH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ 136.91 Schedule C Summary "Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND—Individual (Include all Schedule C subtotals.) $ 136.91 COM—Recipient Committee other than PTY or SCC 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ 0 OTH—Other(e.g., business entity) PTY—Political Party 3. Total nonmonetary contributions received this period. SCC—Small Contributorcommittee Add Lines 1 and 2.Enter here and on the Summar Page,Column A,Lines 4 and 10. TOTAL $ 136.91 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/AS K-FPPC(86612753772) SCHEDULE E Schedule E Type or print in ink. Statement covers period , , Amounts may be rounded I i Payments Made to whole dollars. from 7/1/2014 • SEE INSTRUCTIONS ON REVERSE through 9/30/2014 Page (�a- of �3 NAME OF FILER I.D. NUMBER Mary-Lynne Bernald for Council 2014 1365458 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 PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees RHO 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Graphic Screenprinting Production Inc Omega Printing SometimesY CMP $600.00 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2640.19 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 5713.85 2. Unitemized payments made this period ofunder$100 $ 117.67 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 $ 5831.52 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) Schedule EType or print in ink. Statement covers period SCHEDULE E(CONT.) , , (Continuation Sheet) Amounts may be rounded Payments Made from • ' to whole dollars. 7/1/2014 • ' through 9/30/2014 Page 3 of�3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER Mary-Lynne Bernald for Council 2014 1365458 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 Lrr 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) Saratoga Chamber of Commerce City Of Saratoga Political Data Inc `Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3073.66 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772)