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Home My WebLink About10-5-2018 - Preserve Saratoga Form 460Date Stamp COVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE State ent coves per od from l 7 T through fO Is I/ v 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee 0 0 State Candidate Election Committee 0 Recall (Also Coipleta Pad 5) DeGeneral Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party/Central Committee Primarily Formed Ballot Measure Committee 0 Controlled 0 Sponsored (Also Complete Pert 6) Primarily Formed Candidate/ Officeholder Committee (Also Complola Pad I) Date of election If applicable: (Month, Day, Year) Nov'. 6 ?4,1e 2. Type of Statement: Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) RECFEir OCT O g Page 1 of CITY OF SAR,;Am vG For fficial Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report 3. Committee Information COMMITTEE NAME (OR CANDIDATES NAME IF NO COMMITTEE) PReVse_ ��fL. I.D. NUMBER P4 233 STREET ADDRESS (NO P.O. BOX I ZI STATEZIP CCCOODE AREA CODE/PHOINE,iJ 77 DIFFER dT N AND STREETP.O.BO% O 70 �Dg5-`� CITY ZIP CODE AREACODEIPHONE OPTIONAL: FAX / E-MAIL ADDRESS -rtsc‘-rnif- < • NAMEOF REASURER MAILING ADDRESS CRESS 13. S vL) frv,1--- CI STATE ZIP CODE AREA CODE/PHONE j9-r'b4-4- eft 95o 7D 4los'rL9 % T EASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE 7/9SGfrO[• PHONE 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contain certify under penalty of perjury under the laws of the StateofCalifornia that the foregoing is true and cyrrtct. Executed on r / (��5 • / 20 1 `1 By Date / Executed on Executed on By Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Date Date By Signature of Con d herein and in the attached schedules is true and complete. I Signature of Treasurer or Assistant Tree ficoholder. Candidate, State Measure Proponent or Responsible Officer of Sponsor Signature of Controlling Officeholder, Candidate, Stale Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SUMMARY PAGE Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER f Pee3 A VI fr1-R /37'D &14- Contributions Received 1. Monetary Contributions Schedule A, Line 3 2. Loans Received Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1 + 2 4. Nonmonetary Contributions Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 3Sa0 Column B CALENDAR YEAR TOTAL TO DATE $ 3 Svo $ 3v� $ 3cot, $ soc%i CALIFORNIA 460 FORM Page of I.D. NUMBER '9/233z- Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ _ 21. Expenditures Made $ $ Expenditures Made 6. Payments Made Schedule E, Line 4 7. Loans Made Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 9. Accrued Expenses (Unpaid Bills) Schedule F, Line 3 10. Nonmonetary Adjustment Schedule C, Line 3 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ ac j1 $ �5�7 $ 2.gI1 $ 7 $ 1.q) 7 $ 7,gI7 Current Cash Statement 12. Beginning Cash Balance Previous Summary Page, 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. $ 0 35-0c) 7--1----R-- $ XS.> 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 Ato the corresponding amounts from Column 8 of your last report. Some amounts in Column Amay 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit) Date of Election (mm/dd/yy) / / Total to Date *Amounts in this section may be different from amounts reported In Column B. FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 2 Sctieauie B - ran z Amounts may oe rounaea to whole dollars. Loan Guarantors SEE INSTRUCTIONS ON REVERSE Statement covers riod from _.9 Ly 1 through _ O . .71-4r— CALIFORNIA FORM Page A'? 460 of / NAME OF FILER p Rf--2-1-ip,(fa:" , .5,-42 -7V t-/9- I.D. NUMBER iV) 733z. FULL NAME, STREET ADDRESS AND ZIP CODE OF GUARANTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) LOAN AMOUNT GUARANTEED THIS PERIOD CUMULATIVEOUTSTANDING TO DATE BALANCE TO DATE �/j� 447, c� iley //. C547,44 L) ( C V W C,t 9So 70 ,,,,,,dddd RIND ❑COM 0 OTH o s c % p Q-_' p �Y'( V^� 'pa, FICNi ��'TTTJJJ Ph'PJ i4•6{J,rt' LENDER ','� . CALENDARYEAR S- PER (IF 5 3 fK% DATE / cI /L� ELECTION REQUIRED) yid' 3ittel fr �L).. •1/0+�117� is /�nV�- h�9-) ,�l�j-gS�7d (J D ❑COM ❑ OTH oscc �if �/1(GY 'C�IY r T iFa� lb. c% ly ph .1%. J C �1006 lr LENDER DVS I�. CALENDAR YEAR t3roo 3��. PER REQUIRED) S 3$ DATE o >� ElIND ❑COM ❑ OTH ❑ PTY ❑SCC LENDER CALENDAR $ PER (IF s YEAR ELECTION REQUIRED) DATE ❑IND ❑ COM OTH ❑PTY ❑SCC - LENDER CALENDAR 6 (IF (IF $ YEAR DATE ELECTION REQUIRED) Enter on SUBTOTAL $ IJ�/ mary 3�. Sumye, Line 17 only. Iw 5 S �,r� FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE E Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Amounts may be rounded to whole dollars. Statement vers riod from L through l° CALIFORNIA 460 FORM Page '' of NAME OF FILER Pg (c5 i4 ✓Lr a,rrRn-ra-Y-- I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP CNS CTB CVC FIL FND IND LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)` civic donations candidate filing/ballot fees fundraising events independent expenditure supporting/opposing others (explain)' legal defense campaign literature and mailings MBR MTG OFC PET PHO POL POS PRO PRT member communications meetings and appearances office expenses petition circulating phone banks polling and survey research postage, delivery and messenger services professional services (legal, accounting) print ads RAD RFD SAL TEL TRC TRS TSF VOT WEB radio airtime and production costs retumed contributions campaign workers' salaries t.v. or cable airtime and production costs candidate travel, lodging, and meals staff/spouse travel, lodging, and meals transfer between committees of the same candidate/sponsor voter registration 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 s.0 + �F f# I Art) )IV00.3 F L i4 m,04-1 >1 Ngr� gv. U S .3,0-5 try A -a Ve.--) PoS J 23 Z . jo. a $'il5+r /1 Ai klicef 1 d 4 5 H'1 ovireit y/ it)47 Jing, 1-o.5e 1 C,4 9 �I 1 0 F R/ ' •s /6-3 6- * Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2( % 7 Schedule E Summary 7 1. Itemized payments made this period. (Include all Schedule E subtotals.) $ 2-9 ) 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 Summary Page, Column A, Line 6.) TOTAL $ :L q) 7 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov