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Home My WebLink About2014_10_23 Form 460 - Mary-Lynne Bernald Recipient Committee Type COVER PAGE or print in ink. Date Stamp , , Campaign Statement 7Only CoverPage(Government Code Sections 54200-54216.5) Statement covers period Date of election if applicable: e of from10/1/2014 (Month, Day, Year) OCT 23 2014 For Official Use SEE INSTRUCTIONS ON REVERSE through 10/18/2014 11/4/2014 By 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 ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall Q Controlled ❑ Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) O Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 General Purpose Committee (Also Complete Part 6) E] Amendment(Explain below) ❑ Q Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee Q 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 Johnstone MAILING ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 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 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 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 underthe laws of the State of California that the foregoing is true and correct. Executed on CC,4,per._ a O By I — Date X 'gnatureofTreasurero ssistantTreasurer Executed on c k a 3 _ an t Q- gy Datef SignatureofC n IfindOfficaldler,Candidate,State Measure ProponentorResponsible Officer ofSponsor Executed on By Date Signature ofControlling Officeholder,Candidate,Staff Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:666/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIAi Campaign Statement FORM Cover Page—Part 2 Page 2 of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed 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 ❑ OPPOSE Saratoga City Council RESIDENTIAUBUS[NESS 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 officeholders)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEEADDRESS 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 OFTREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ YES ❑ NO ❑ SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(January/06) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2764772) 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. I ,FOXi from 10/1/2014 • - SEE INSTRUCTIONS ON REVERSE through 10/18/2014 7,ag 3 of NAME OF FILER MBER Mary-Lynne Bernald for Council 2014 1111 1365458 Column A Column B Calendar Year Summary for Candidates Contributions Received TOTALTHISPERIOD CALENDARYEAR Runningin Both the State Prima and (FROMATTACHEDSCHEDULES) TOTALTODATE Primary General Elections 1. Monetary Contributions ........................................... Schedule A,Linea $ 399.00 $ 9541.00 2. Loans Received ...................................................... Schedule s,Line 3 0 4767.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1+2 $ 399.00 $ 14308.00 20. Contributions Received $ $ 4. Nonmonetary Contributions.................................... Schedule C,Linea 0 136.91 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ...........................Add Lines 3+4 $ 399.00 $ 14444.91 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ 4177.79 $ 10654.31 Candidates 7. Loans Made............................................................. Schedule H,Line 0 0 4177.79 10654.31 22. Cumulative Expenditures Made' 8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6+ 7 $ $ (if Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ...............................Schedule F,,Line 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment..........................................Schedule C,Line 0 136.91 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE................................Add Lines a+9+10 $ 4177.79 $ 10791.22 -J� $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page,Line 16 $ 7432.48 To calculate Column B,add 13. Cash Receipts ................................................... Column A,Line 3above 399.00 amounts in Column A to the corresponding amounts *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash........................... Schedule 1,Line 4 0 from Column B of your last reported in Column B. 15. Cash Payments.................................................. Column A,Line 8above 4177.79 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE.......... Add Lines 12+ 13+ 14,then subtract Line 15 $ 3653.69 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 8 above $ 4767.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) Schedule Type or print in ink. SCHEDULE A Amounts may be rounded Statement covers period Monetary Contributions Received to whole dollars. • - ' 10/1/2014 from • - SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page 4 of NAME OF FILER I.D. NUMBER Mary-Lynne Bernald for Council 2014 1365458 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I.D.NUMBER) * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE (IFSELF-EMPLOYED,ENTER NAME PERIOD (JAN.1 -DEC.31) (IF REQUIRED) OF BUSINESS) ®IND 10/4/2014 William T Brooks ❑COM attorney/Brooks and []OTH Hess $150.00 $150.00 ❑PTY [:]SCC MIND 10/7/2014 Jan Birenbaum ❑COM retired []OTH $150.00 $150.00 ❑PTY ❑SCC ❑IND ❑COM []OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY [:]SCC ❑IND ❑COM ❑OTH ❑PTY [:]SCC SUBTOTAL$ 300.00 Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND—Individual (Include all Schedule A subtotals.) ......................................................................................$ $300.00 COM—R then thant n PTY •••••••••••••••••• (other than PTY or SCC) 99.00 OTH—Other(e.g., business entity) 2. Amount received this period—unitemized monetary contributions of less than$100 .............................$ PTY—Political Party 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. TOTAL $ 399.00 FPPC Form 460(January/05) FPPC Toll-Free Helpline:S66/ASK-FPPC(866/2753772) SCHEDULE E Schedule E Type or print in ink. Statement covers period , • . , Amounts may be rounded A f Payments Made to whole dollars. from 10/1/2014 • - SEE INSTRUCTIONS ON REVERSE through 10/18/2014 Page of 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 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Omega Printing SometimesY Stileto's Wine Bar CMP $500.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4088.46 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. $ 4088.46 2. Unitemized payments made this period of under 100 $ 89.33 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 $ 4177.79 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772)