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Case -1st pre-election 460COVER PAGE Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 01/01/2020 through 09/19/2020 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. m Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee Q Recall O Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Doug Case STREET ADDRESS (NO P.O. BOX) 12445 Green Meadow Lane CITY STATE ZIP CODE AREACODE/PHONE Saratoga CA 95070 (408)499-0849 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 20523 Manor Drive CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Date of election if applicable: (Month, Day, Year) 11/03/2020 2. Type of Statement: Date Stamp of RECEIVED CITY OF SARA m Preelection Statement ❑ Semi-annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) 1 of 9 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER Jeffrey Scott Fell MAILING ADDRESS 20523 Manor Drive CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 ( NAME OF ASSISTANT TREASURER, IF ANY 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 09/19/2020 Date Executed on 09/19/2020 Date Executed on Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Doug Case OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 12445 Green Meadow Lane Saratoga CA 95070 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. NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME NAME OF TREASURER I.D. NUMBER ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 9 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I ❑ SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT ICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee Listnames 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 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Doug Case Statement covers period from 01/01/2020 through 09/19/2020 SUMMARY PAGE Page 3 of 9 I.D. NUMBER Column BR Calendar Year Summary for Candidates Contributions Received ro AOLT`H8'FEA CALENDAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions................................................... Schedule A, Line 3 $ 3,225 $ 3,225 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule a, Line 3 3,910 3,910 7,135 7,135 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED................................Add Lines 3+4 $ 7,135 $ 7,135 Made $ $ Expenditures Made 6. Payments Made................................................................ Schedule e, Line 4 $ 4,906 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add lines 6 + 7 $ 4,906 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 4,906 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0 13. Cash Receipts........................................................... Column A, Line 3 above 7,135 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments......................................................... Column A, Line 8 above 4,906 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 2,229 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule A Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ 3,910 $ 4,906 0 $ 4,906 0 0 $ 4,906 To calculate Column B, add amounts in Column Ato 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). Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) *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 A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period from 01/01/2020 SCHEDULE A through 09/19/2020 Page 4 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Doug Case FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) m IND 08/06/2020 Charles ""Chuck"" Page g ❑ COM Agent g $250 $250 $250 ❑ OTH State Farm Insurance Saratoga, CA 95070-3456 ❑ PTY ❑ SCC m IND 08/19/2020 Marcella Johnson ❑ COM Inventor/Founder $100 $100 $100 ❑ OTH The Comfort Cub Encinitas, CA 92024 ❑ PTY Encinitas, CA ❑ SCC m IND 08/20/2020 Marjorie Wieland ❑ COM Teacher $100 $100 $100 ❑ OTH Arcola Elementary School Aldie, VA 20105 ❑ PTY Aldie, VA ❑ SCC MIND 08/24/2020 Stanley Tani ❑ COM Retired $500 $500 $500 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC ®IND 08/25/2020 Wendy Novakovich El COM Retired $100 $100 $100 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)............................................................................... 2. Amount received this period — unitemized monetary contributions of less than $100. 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......... SUBTOTAL $ 1,050 $ 2,800 $ 425 'Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee TOTAL $ 3,225 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Doug Case DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 08/25/2020 Paul Conrado Saratoga, CA 95070 08/25/2020 Matthew Howard Saratoga, CA 95070 08/29/2020 Jeff Fell Saratoga, CA 95070 08/31/2020 Stephen Choy Saratoga, CA 95070 09/01/2020 Betty Garbern Saratoga, CA 95070 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Amounts may be rounded to whole dollars. SCHEDULE A (CONT.) Statement covers from 01/01/2020 through 09/19/2020 Page 5 of 9 IF AN INDIVIDUAL, ENTER AMOUNT CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CODE (IF SELF-EMPLOYED, ENTER NAME) PERIOD m IND ElIND Executive Chairman $250 ❑ OTH The Conrado Company ❑ PTY ❑ SCC m IND ❑ COM Managing Partner $200 ❑ OTH Norwest Venture Partners ❑ PTY ❑ SCC m IND El COM Retired $150 ❑ OTH ❑ PTY ❑ SCC m IND El COM Retired $100 ❑ OTH ❑ PTY ❑ SCC m IND ❑ COM Retired $500 ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 1,200 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) $250 $200 $150 $100 $500 PER ELECTION TO DATE (IF REQUIRED) $250 $200 $150 $100 $500 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Monetary Contributions Received Doug Case FULL NAME, STREET ADDRESS AND ZIP CODE OF DATE RECEIVED CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) 09/06/2020 Nathan Chan Saratoga, CA 95070 09/08/2020 Cathleen Harter Saratoga, CA 95070 09/16/2020 Beth Berger Saratoga, CA 95070 09/17/2020 Lawrence Hudepohl Saratoga, CA 95070 *Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee Amounts may be rounded to whole dollars. statement covers from 01/01/2020 through 09/19/2020 IF AN INDIVIDUAL, ENTER AMOUNT CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CODE (IF SELF-EMPLOYED, ENTER NAME) PERIOD m IND ❑ COM Unemployed $100 ❑ OTH ❑ PTY ❑ SCC m IND ❑ COM Technical Recruiter $100 ❑ OTH In -Synch Staffing ❑ PTY ❑ SCC m IND ❑ COM Retired $100 ❑ OTH ❑ PTY ❑ SCC m IND ❑ COM Retired $250 ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY SUBTOTAL $ $550 SCHEDULEA (CONT.) Page 6 of 9 CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) $100 $100 $100 $250 PER ELECTION TO DATE (IF REQUIRED) $100 $100 $100 $250 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule B — Part 1 Statement covers period CALIFORNIA Loans Received from 01/01/2020 FORM through 09/19/2020 Page 7 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Doug Case FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING AMOUNT AMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THIS PERIOD THIS PERIOD * CLOPERIOD EOFTHIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD ❑ PAID CALENDARYEAR Doug Case Retired 0 3,810 0 3,810 0 $ $ % $ $ FORGIVEN El FORGIVEN PER ELECTION`* Saratoga, CA 95070 $ 0 3,810 $ 0 11/03/20 $ 0 08/10/20 $ 0 t Z IND ❑ COM ❑ OTH I PTY ❑ SCC $ DATE DUE DATE INCURRED PAID CALENDARYEAR Doug Case Retired $ 0 $ 100 0 % $ 100 $ 0 RATE ❑FORGIVEN PER ELECTION** Saratoga, CA 95070 0 100 $ 0 11/03/20 0 08/14/20 $ 0 t v IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $_ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION** RATE DATE INCURRED t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE SUBTOTALS $ 3,910 $ 0 $ 3,910 $ 0 Schedule B Summary 1. Loans received this period................................................................................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period........................................................................ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)...................................... Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. ............................... $ 3,910 $ 0 ................. NET $ 3,910 (May be a negative number) (Enter (a) on Schedule E, Line 3) tContributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE kME OF FILER Doug Case Amounts may be rounded to whole dollars. Statement covers period from 01/01/2020 through 09/19/2020 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 8 of 9 I.D. NUMBER CMP campaign paraphernalia/misc. MBR member communications RAID 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 AMOUNT PAID City of Saratoga I FIL Statement of Qualifications I $3,810 13777 Fruitvale Avenue, Saratoga, CA 95070 Super Cheap Signs I LIT Yard signs for campaign $451 9200 Waterford Centre Blvd., Suite 100, Austin, TX 78758 Register of Voters I FIL I Voter Registration Filing I $129 1555 Berger Drive, Bldg. #2, San Jose, CA 95112 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,390 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 4,525 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 381 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 $ 4,906 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Amounts may be rounded to whole dollars. Statement covers period • t Payments Made from 01/01/2020 through 09/19/2020 page 9 of 9 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Doug Case 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 RAID 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 AMOUNT PAID PrintFul Inc. 11025 Westlake Dr., Charlotte, NC 28273 CMP "Vote for Doug" T-Shirts $135 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 135 FPPC Form 460 Jan 2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov