Loading...
HomeMy WebLinkAbout2014_02_03 Restore Saratoga - Form 460 Semi-Annual Statement Recipient CommitteeCOVER PAGE Type or print in ink. nAtp lt2rnn �, , Campaign Statement � , Cover Page (Government Code Sections 84200-84216.5) P of Statement covers period Date of election if applicable: FEB 03 2 14 from —7 1 2-0 1 3 (Month, Day, Year) or Official Use Only SEE INSTRUCTIONS ON REVERSE through 2 3 I 201 3 pa` Z, 2A to 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 Q Recall -e-Controlled F1 Termination Statement ❑ Supplemental Preelection (Also Complete Part 5) Q Sponsored (Also file a Form 410 Termination) Statement-Attach Form 495 F-1General Complete Part 6J General Purpose Committee ❑ Amendment(Explain below) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER Treasurer(s) 3z.p3o0 COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER ytrs oA Aft ERSu(Z6 Q Ga mot,T-ri6 /L(SH C &2- CAM/►y -ru AES-i-52F S+i2-A--mCA MAILING ADDRESS STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE �£ SA-R-,4-TC>c A-, CA- 9-re-7 o CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY S*-2A-M'4'4 , CLQ 9 -50-7o P[.Et t/L k E7T 1L A-rl 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 5A4 ZA G4 9 So 70 _Sk-«-MG,+ Coo 9 5 0'70 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.�ner ,- Executed on 0"` 3" I`� By ' 1 Date SignatureofTr reorAssi n asurer Executed on By - --Date Signature ofC T lling Officeholder,Candidate,State Measure Proponent or Responsible OffieerofSponsor Executed on By Dab 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 Helpllne:866/ASK-FPPC(86612753772) State of California Type or print in ink. COVERPAGE-PART2 Recipient Committee po RM Campaign Statement CALIFORNIA • 1 Cover Page—Part 2 -TuA` , 2_z\3 pJaJ i, Z.�1 • De-c- 3,11 7,013 1 3Z$30 o Page '2_ of 3 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE 21 N�EA-Su,2� Q OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE BALLOT NO.OR LETTER JURISDICTION t�-SUPPORT Q ❑OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Stalacy. ist any committees �tSH C`-fi°t� L T✓L 5('<'�'E1/Z not included in this statement that are controlled by you ily formed to receive OFFICE SOUGHT OR HELD aL DISTRICT NO. IF ANY contributions or make expenditures on behalf of your ca1 7-6WSwYt-� ({6-S 8, G8/hp%.i T7'S'fs COMMITTEE NAME I.O.NUMBER s NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/OfficeholderCommittee List name of officeholder(s)or candidates)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET AD RESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ S RT PPOSE CITY STATE ZIP CODE AREA CODEIPHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT O LD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D. NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑OPPOSE NAME OF TREASU R CONTROLLED COMMITTEE? NAME OF OFFICE ER OR CANDIDATE OFFICE SOUGHT OR HELD 1] YES ❑ NO ❑ SUPPORT ❑OPPOSE COMMITTE DRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODEJPHONE Attach continuation sheets if necessary FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772) State of Califomia Campaign Disclosure Statement Type or print in ink. SUMMARYPAGE Amounts may be rounded Statement covers period Summary Page to whole dollars. 11111 •' i from mut' 1,� ZDV 3 • SEE INSTRUCTIONS ON REVERSE through >6c- 31 7-0 t3 Page 3 of I NAME OF FILER � ��ttCe— +0 I.O.NUMBER `��S o M 2E Ga rwt,art �� (Z.es-f-or� Sir--� l 3 Z% 300 To�nu� ROD Column B Calendar Year Summary for Candidates Contributions Received Running in Both the State Prima (FROM ATTACHED SCHEDULES) TOTALTO DATE 7 Primary 7 s, po 9 Zoo, a o General Elections 1. Monetary Contributions ........................................... Schedule A,Line 3 $ $ 1/1 through 6 7/1 to Date 2. Loans Received ...................................................... Schedule B,Line 3 �`' 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines i+2 $ ?s-O e $ q 2 0 O u 20. Contributions " �, Received $ 4. Nonmonetary Contributions.................................... schedule c,Line 3 21. Expen . res 5. TOTAL CONTRIBUTIONS RECEIVED ......•••.............•••••AddLines3+4 $ 7S_Oo $ Z`{O. 00 M $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made....................................................... Schedule E,Line 4 $ Z o9 4. 53 $ ZS, c7 8 Candidates 7. Loans Made............................................................. schedule H,Line 3 7.0 9t-F S3 ! `L+ 25, d$ Cumulative Expenditures Mad 8. SUBTOTALCASH PAYMENTS .................................... Add Lines 6+7 $ _ $ (IfSubloetto Voluntary Expenditure Lunt 9. Accrued Expenses (Unpaid Bills)...............................Schedule F Line 3 . Date of Election To I to Date 10.Nonmonetary Adjustment ..........................................Schedule C,Line 3 ip fy (mm/dd/yy) 11.TOTAL EXPENDITURES MADE................................Add Lines 8+9+10 $ Z�o9`x.53 $ $ Current Cash Statement $ 12.Beginning Cash Balance....................... Previous summary Page,Line 16 $ � To calculate Column B,add 13.Cash Receipts ................................................... Column A,Line 3 above 75 • oo amounts in Column A to the corresponding amounts *Amounts in this section y 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 8 above Z. D`� - S3 report. Some amounts in Column A may be negative 16.ENDING CASH BALANCE...... • 13 figures that should be ....Add Lines 12+13+14,then subtract Line 15 $ � 9 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 2 $ for this calendar year,only carry over the amounts Equivalents and Outstanding Debts from Lines 2,�,ands{if Cash E q g � any). 18. Cash Equivalents........................................ See instructions on reverse $ 19. Outstanding Debts......................... Add Line 2+Line 9 in Column B above $ 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 period Monetary Contributions Received to Whole dollars. CALIFORNIA 460 from :T Ak V I Zoo i FORM through D� 3( i 33 Page 4 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER 112--p-54 ,. I.D.NUMBER 65 C> Q t 3z3 30-0 FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE RECEIVED (IF COMMITTEE ALSO ENTERI.D.NUMBER) CODE* (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN. 1 -DEC.31) (IF REQUIRED) OF BUSINESS) ❑IND ❑COM E]OTH S r Do� / El PTY o�� ❑SCC / C�r -4- 5-7-71& ❑COM ❑OTH �p r Zo( ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC MIND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ S- Schedule A Summary "Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual Include all Schedule A subtotals. $ COM—Recipient Committee ( )........................................................................ (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 ............................. $ OTH— olher l Part business entity) p rY 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 $ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) Schedule B-Part 1 Type or print in ink. SCHEDULE B-PART 1 Amounts may be rounded Statement covers period CALIFORNIA Loans Received to whole dollars. from ��� t ��3FORM 460 SEE INSTRUCTIONS ON REVERSE through 3f, (3 Page J of t 3 NAME OF FILER n _ I.D. NUMBER Y67S » M S�4Su lL6 � Ce vrvt�,rc� / /S -�-lam 1 32-9 -300 IF AN INDIVIDUAL, ENTER a FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT kl OUTSTANDING a f9 OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID gALANCEAT INTEREST ORIGINAL C TIVE (IFCOMMITTEE,ALSO ENTER LD,NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS RECEIVED THIS OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF NTRIBUTIONS NAMEOFSUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD PERIOD L TO DATE ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION*"' $ $ $ $ $ t❑ 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 ❑PAID CALENDAR YEAR ❑FORGIVEN RATE PER ELECTION""' $ $ $ $ $ t El COM ❑ OTH [F:] PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ $ $ $ (En*6r(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period....................................................................................................................$ _ (Total Column(b)plus unitemized loans of less than$100.) tcontributor Codes IND-individual 2. Loans paid or forgiven this period .........................................................................................................$ 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. SCC-Small contributor committee . ................................................... NET $ Enter the net here and on the Summary Page,Column A,Line 2. (May be p6gobw 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(86612753772) SCHEDULEB-PART2 Schedule B—Part 2 Type or print in ink. Statement covers period . Amounts may be rounded NIA Loan Guarantors to whole dollars. fromFORM 460 through D6G ­51 �3 Page of t SEE INSTRUCTIONS ON REVERSE NAME OF FILER ��O wl� r ({-GG Tq I.D. NUMBER � 6-5 at3 Oizs ou f2-rte a Cor rw�-rr��� R-es�rc �r4 o$� t 3 z 9 3o to FULL NAME,STREET ADDRESS AND IF AN INDIVIDUAL,ENTER AMOUNT BALANCE ZIP CODE CONTRIBUTOR OCCUPATION AND EMPLOYER LOAN GUARANTEED CUMULATIVE OUTSTANDING (IF COMMITTEE,ALSO GUARANTOR LSO ENTERI.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER THIS PERIOD TO DATE TO DATE NAME OF BUSINESS LENDER CALENDARYEAR [—]IND ❑COM $ ❑OTH DATE PER ELE (IF IRED) []PTY ❑SCC $ CALENDARYEAR []IND LENDER ❑COM $ PER ELECTION ❑OTH DATE (IF REQUIRED) ❑PTY 1 ❑SCC N $ CALENDARYEAR [-]IND LENDER ❑COM $ PER ELECTION ❑OTH DATE (IF REQUIRED) ❑SCC $ CALENDAR YEAR ❑IND LENDER ❑COM $ PER ELECTION ❑OTH DATE (IF REQUIRED) ❑PTY ❑SCC $ Enteron SUBTOTAL $ Summary Page, Line 17 only. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule C Type or print in ink. Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from �i L !� Zo 3 FOR • SEE INSTRUCTIONS ON REVERSE through 0 6-L 3 t 2s 3 719.�of 3 NAME OF FILER G � I.D.NUMBER S O!J iR-6 Q- r/w1�'►v-r �- ! 1'-'`S fo('G. �o d-e��lo a� t 3 Z 3p0 CONTRIBUTOR IF AN INDIVIDUAL,ENTER CUMULATIVE TO FULL NAME,STREET ADDRESS AND AMOUNT/ DATE OCCUPATION AND EMPLOYER DESCRIPTION OF FAIR MARKET PER EL N RECEIVED ZIP CODE OF CONTRIBUTOR CODE* GOODS OR SERVICES DATE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER VALUE CALENDAR YEAR NAME OF BUSINESS) (JAN 1-DEC 31 (IF REQUIRED) []IND ❑COM MOTH ❑PTY []SCC MIND ❑COM Q( MOTH 1 []PTY ❑SCC ❑IND MOTH ❑PTY ❑SCC ❑IND ❑COM MOTH ❑PTY ❑SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule C Summary `Contributor Codes 1. Amount received this period—itemized nonmonetary contributions. IND-Individual (Include all Schedule C subtotals.).....................................................................................................................$ COM-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized nonmonetary contributions of less than$100 ....................................$ OTH-Other(e.g.,business entity) PTY-Political Party 3. Total nonmonetarycontributions received this period. SCC-Small Contributor Committee (Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Lines 4 and 10.) ......................TOTAL $ _ FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2753772) Schedule SCHEDULED Statement covers period Summary of Expenditures Type or print in ink. Amounts may be rounded I Supporting/Opposing Other to whole dollars. from -It'`� t. 2�t 3 , �•RM + • ' Candidates,Measures and Committees SEE INSTRUCTIONS ON REVERSE I through 3t 2�r 3 Page S of 3 NAME OF FILER I.D. NUMBER ES a t4 M-6�45 u 2-E 1 3 z 21" 3E)CD CUMULATIVE TO DATE PER EL N DATE NAME OF CANDIDATE,OFFICE,AND DISTRICT,OR TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CALENDAR YEAR ATE MEASURE NUMBER OR LETTER AND JURISDICTION, (IF REQUIRED) ORCOMMITTEE PERIOD (JAN.1-DEC.31) (IF REQUIRED) ❑ Monetary / Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonm ry Con ribution Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary / Contribution ❑ Nonmonetary Contribution ® Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ Schedule D Summary 1. Itemized contributions and independent expenditures made this period.(Include all Schedule D subtotals.)......................................................... $ 2. Unitemized contributions and independent expenditures made this period of under$100..................................................................................... $ 3. Total contributions and independent expenditures made this period.(Add Lines 1 and 2. Do not enter on the Summary Page.) ............ 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 Pa ments Made Amounts may be rounded from 0 1 �/ to whole dollars. ,�(,t c• ! Zal'3sim SEE INSTRUCTIONS ON REVERSE through b6C- 3 1 2a 3 Page 9 of '3 NAME OF FILER I.D. NUMBER �' � 5 ©� M�5�,1(ZE Q �©w► M.; TT-� -� >'�-ra�€ �°`N'-��ac,,4 � -3 Z� 3�0 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 FIND 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID x610 s e-k o 6;k3<,o L_D P 0-I,3T F J-Y 6VL—S pit:7 �A P 471>c f0t-, Ck y'Sa 70 P,q-A c-) e)o c tde6w-5sE�J�-naA (2-&,J t E1.J Zo 0 0. 0 0 /lti t�V�v3`a4W V I EW, Goo w5 P S SA-(2_A-ra C-,A) C,Ar 950-70 " 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. ......._... $ 2. Unitemized payments made this period of under$100 .......................................................................................................................................... $ 3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).)............................................................................... $ ?� 4. Total payments made this period.(Add Lines 1,2,and 3. Enter here and on the Summa Page,Column A,Line 6. .............. TOTAL $ P Y P Summary g ) ............... FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(8661275-3772) SCHEDULE F Schedule F Type or print in ink. Statement covers period •' Amounts may be rounded A 6 , Accrued Expenses (Unpaid Bills) to whole dollars. from 0%&L, 11 ?►013 • through Dec— 31, 2_ZI'3 Pa �� of 13 SEE INSTRUCTIONS ON REVERSE Page NAME OF FILER I.D.NUMBER 5 ©� ME-4 Co _Ei/2 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. NBR member communications RAD radio airtime and production costs CNS campaign consultants VM 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 NSD 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 CREDITOR CODE OR (A (IN (c) (d OUTSTANDING AMOUNTINCURRED AMT PAID ANDING (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD TH�REPQ ERIOD ALANCE AT CLOSE OF THIS PERIOD (ALSO ) OF THIS PERIOD *Payments that are contributions or independent expenditures must also be SUBTOTALS$ $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column(b)subtotals for accrued expenses of$100 or more, plus total unitemized accrued expenses under$100.)............................................ INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c)subtotals for payments on accrued expenses of$100 or more, plus total unitemized payments on accrued expenses under$100.).................................PAID TOTALS$ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.)................................................................................................................................................ NET$ May be a g.galive number FPPC Form 460(January/05) FPPC Toll-Free Helpline:8661ASK-FPPC(866/275-3772) Schedule GSCHEDULE G Type or print in ink. d ri r covers period Payments Made by an Agent or Independent Amounts may be rounded StatementCALIFORNIA FORM Contractor(on Behalf of This Committee) towhole dollars. from �`'t L I, Za 3 � 60 through �67G w.0 �i3 Page r, of t3 SEE INSTRUCTIONS ON REVERSE NAME OF FILER n r,c I.D.NUMBER E S &iJ Ire e4 BA-vi-E Go✓ I, iw.t A,�.: f{�� 't'° I ��� 13 2 o NAME OF AGENT OR INDEPENDENT CONTRACTOR CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP campaign paraphernalia/misc. NPR member communications RAD radio airtime and production costs CNS campaign consultants MM meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)` OFC office expenses SAL campaign workers' salaries CVC civic donations FET petition circulating TEL Lv.or cable airtime and production costs RL 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 M independent expenditure supportinglopposing 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) *Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOUID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) 1 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ "Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or independent contractor as reported on Schedule E. FPPC Form C( 66/275 3772) FPPC Toll-Free Helpline:866/ASK-FPPC(86612753772) SCHEDULEH Schedule H Type or print in ink. Statement covers period Loans Made to Others* Amoto whole dts mayollars.roufrom •- I , J kc., I � t 3 •- SEE INSTRUCTIONS ON REVERSE through �'t, 3 Page Z of 3 NAME OF FILER I.D.NUMBER 6-5 o's Cow►�'•'I i- L` �a-s7S�e- So--c �, 13 25' -3,D o IF AN INDIVIDUAL,ENTER AMOUNT ` INTEREST ORIGINAL LATIVE FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING ro) (�) OUTSTA DING (8) M OF RECIPIENT OCCUPATION AND EMPLOYER BALANCE REPAYMENT OR BALANCE AT (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS LOANED THIS FORGIVENESS CLOSE OF THIS RECEIVED AMOU LOANS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD" PERIOD OAN TO DATE PAID CALENDAR YEAR EN RATE PER ELECTION*" DATE DUE DATE INCURRED PAID CALENDAR YEAR FORGIVEN RATE PER ELECTION— S 8 8 8 8 DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must SUBTOTALSI$ $ $ $ also be reported on Schedule E. (Enter(e)on Schedule I,Line 3) Schedule H Summary 1. Loans made this period ..................................................................................................................................................$ "*If Required (Total Column(b)plus unitemized loans of less than$100.) 2. Payments received on loans...........................................................................................................................................$— (Total Column(c)plus unitemized payments of less than$100.) 3. Net change this period. (Subtract Line 2 from Line 1.)..........................................................................................NET $ (Enter the net here and on the Summary Page,Column A,Line 7.) ay bels negative num er) FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule I Type or print in ink. SCHEDULE[ Miscellaneous Increases to Cash Amounts may be rounded Statement covers period CALIFORNIA 460, ' to whole dollars. from Z-144- f FORM ?p 3 SEE INSTRUCTIONS ON REVERSE through 12,131 �2a l Page t of 13 NAME OF FILER C-Z I.D.NUMBER OA MCA-5u 12ls- Q Ga A,.,►+11 44,--e 12-e-5*,t'c S�rho o, '3-2-k 30o DATE FULL NAME AND ADDRESS OF SOURCE AMOUNT OF RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF RECEIPT INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL$ Schedule I Summary 1. Itemized increases to cash this period. .......................................................................................................................$ 2. Unitemized increases to cash of under$100 this period.............................................................................................$ 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) .................................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................................................................... TOTAL $ FPPC Form 460(January105) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Wednesday, February 5,2014 10:55:27 AM Pacific Standard Time Subject: Re: Copy- Form 460 Date: Tuesday, February 4, 2014 4:17:49 PM Pacific Standard Time From: Schist< To: City Clerk [Crystal Bothelio] <ctclerk@saratoga.ca.us> Hi Crystal, Thanks for the note and scan of the date stamped page of the FPPC form 460 for Restore Saratoga that I deposited in the Saratoga City Hall mail slot on January 31, 2014. Unfortunately, I did not realize City Hall was closed on that Friday, so was not able to deliver this form to you personally to get the date stamp that day. I see Debbie's date time stamp of February 1, 2014 has been modified, I'm guessing to reflect the actual time you received this document which would be February 3, 2014. As you suggested, I'm submitting this email to you for printing and attachment to that form 460. Your help and advice on this is much appreciated. Please let me know if there's anything else I need to do regarding this FPPC filing. All the best, Trish On Feb 4, 2014, at 1:30 PM, City Clerk [Crystal Bothelio] wrote: Hi Trish, Here is a copy of the Form 460 for your records. Warmly, Crystal Bothelio City Clerk I City of Saratoga 13777 Fruitvale Avenue Saratoga, CA 95070 Phone: 408.868.1269 1 Fax: 408.867.8559 Email: ctclerkCa)saratoga.ca.us I web: www.saratoga.ca.us <2014_02_03 Restore Saratoga - Form 460 Semi-Annual Statement.pdf> Page 1 of 1