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Home My WebLink About06-30-2018 - Bernald Semi Annual 460 -Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period Date of election if applicable: from I j I 11 S (Month, Day, Year) through%l� Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Xj Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored F-1General Purpose Committee (Also Complete Part 6) 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 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Nb(rY-Ly nr1e Ber n q �d %(' Counc* 1 ao l $ STATE 6ar-atoaa C 1-N ZIP CODE AREA CODE/PHONE so 110 OPTIONAL. FAX / -MAIL ADDRESS 2. Type of Statement: Date Stamp RECEIVED r! `l MPNAGER'S 2018 JUL 16 PM 11 ly:=i- SARATG SARATOGA. Gi ❑ Preelection Statement Ja Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVERPAGE I of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Judy Johns+one MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 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`` �V7 �' Date r Executed on ilQ 1 Dateo Executed on Date Executed on Date By By By SignatureofControlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Recipient Committee Type or print in ink. COVER PAGE-PART2 CALIFORNIA Campaign Statement• 1 Cover Page — Part 2 FORM 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Mari - Ly, nv�e f�)er,n(a 101 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Member, Soxato90- Ct4- j CoUY)Ct 1 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 contributions or make expenditures on behalf of your candidacy. COMMITTFFNAhAT= I.D. NUMBER NAM- ^- ToC:ARI IRFR CONTROLLED COMMITTEE? _ ❑ YES ❑ NO ------ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME II.D. NUMBER NAME OF TREASURERI CONTROLLED COMMITTEE? ❑ YES ❑ NO UUMMI I I tt AUUKLJS b I KEE I AUUKESS (NU Y.U. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Page of 3 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE OFFICE SOUGHT OR HELD BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ❑ SUPPORT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE 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 to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 $ 2. Loans Received...................................................... schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 4. Nonmonetary Contributions .................................... Schedule c, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ...... ••••.......••••.••.AddLines3+4 $ Expenditures Made 6. Payments Made ................................. 7. Loans Made ....................................... 8. SUBTOTALCASH PAYMENTS .......... 9. Accrued Expenses (Unpaid Bills) ..... 10. Nonmonetary Adjustment ................. 11. TOTAL EXPENDITURES MADE ......... ...................... Schedule E, Line 4 $ Schedule H, Line 3 Add Lines 6 + 7 $ .... I... I ................. Schedule F, Line 3 ......................... Schedule C, Line 3 .............. ......... Add Lines 8+9+10 $ SUMMARY PAGE Statement covers period -NIA 4 f from I ,. through (a-1.30 i S Page 3 of 3 I.D. NUMBER Column A Column B TOTALTHIS PERIOD CALENDAR YEAR (FROMATTACHEDSCHEDULES) TOTALTODATE Current Cash Statement 12. Beginning Cash Balance ....................... Previous summary Paye, Line 16 $ 13. Cash Receipts ................................................... Column A, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments .................................................. Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If this is a termination statement, Line 16 must be zero. / 17 LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ........................................ See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ $ To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any). :alendar Year Summary for Candidates Running in Both the State Primary and 3eneral Elections iJ I A 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates N ) in�' 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mmldd/yy) __—J__—J$ $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772)