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FITZSIMMONS -2nd pre-election 460Recipient Committee Campaign Statement Cover Page Statement covers period from 9/20/2020 SEE INSTRUCTIONS ON REVERSE through 10/17/2020 1. Type of Recipient Committee: All Committees — complete Parts 1, 2, 3, and 4. Q iceholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure U State Candidate Election Committee committee O Recall U Controlled (X:.comperePat e) O Sponsored (Aho Compet.Pm(6) ❑ �reral Purpose Committee V Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (A�.coo*MePed 3. Committee information tA. NUMBER Fitzsimmons for Saratoga Council 2020 STREET ADDRESS (NO P.O, BOX) 13735 STATE ZIPCODE AREA CODE/PHONE Saratoga CA 95070 408- ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX PO STATE ZIP CODE AREACODE/PHONE Saratoga CA 95070 408- FAX /E-MAILADDRESS COVER PAGE RECE ED Date of election If applicat le: P ge 1 of 6 (Month, Day, Year) I For Official Use On 11/3/2020 iTY OF SARATOG A 2. Type of Statement: m Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Kathleen Fitzsimmons MAILING ADDRESS PO STATE ZIP CODE ARE C DE/ HON Saratoga CA 95070 408- OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREACODE/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 irtormation contained herein and in the attached schedules is true and complete. I certify under penalty of perj ry uppn'�ci(> i ,7J Go Executed on _ BY G ) ale^a ) / natur $ignat 7. y uontWq no er, an ante, ate eesur oponont or Repo-- car of rponcor Executed on BY Date Signature. ontro ing Officehol, late eawre roponern Executed on BY DateSignature ofControffing Officehokler, Condidete Stale Measure Proponent FPPL Form 460 (Jan/2016)) FPPL Advice: advice@fppc.ca.gov (866/275-3772) www,fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 6. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Colleen "Kookie" Fitzsimmons OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council RESIDENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Page 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 of 6 BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identity the controlling officeholder, candidate, or state measure proponent, If any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY 7. Primarily Formed Candidate/Officeholder Committee List nemes of olf/ceho/der(s) or candidates) 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 /f 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. Statement covers period CALIFORNIASummary Page from 9/20/2020 FORM ` • 10/17/2020 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Fitzsimmons for Saratoga Council 2020 1432153 Column A Column B Calendar Year Summary for Candidates ' Contributions Received TO TAL THIS PERIOD CALENDAR YEAR Running in Both the State Primary and (FROM ATTACHED SCHEDULES) TOTAL TO DATE General Elections 1. Monetary Contributions.. ........... ................ .................... Schedule A, Line 3 $ 3300.00 $ 3,905.00 1/1 through 6/30 7/1 to Date 0 5100,00 2. Loans Received................................................................ Schedule B, Line 3 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lined+2 $ 3300.00 $ 9005.00 Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21, Expenditures 3300.00 $ 9005.00 Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED ............................... Add Lines 3 + 4 $ Expenditures Made 6. Payments Made................................................................ Schedule E, Line 4 $ 7541.18 7. Loans Made.. ........................ ............... ............................ Schedule H Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 7541.18 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+g+10 $ 7541.18 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 145.00 13. Cash Receipts........................................................... Column A, Line 3 above 3300.00 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments... ...................................................... Column A, Line 8above 3300.00 16, ENDING CASH BALANCE Add Lines 12 + 13 + 14, then subtract Line 15 $ 3445.00 If this is a termination statement, Line 16 must be zero. 17, LOAN GUARANTEES RECEIVED ................................ Schedule B. Pall $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents.. ..................... ........................ See instructions on reverse $ 19, Outstanding Debts .............................. Add Line 2 +Line gin Column B above $ 5100.00 Expenditure Limit Summary for State $ 13101.18 Candidates 0 13101.18 22, Cumulative Expenditures Made` $ (It Subject to voluntary Expenditure Limit) 0 Date of Election Total to Date 0 (mmtdd/yy) $ 13101.18 '1 1 $ To calculate Column B, add amounts in Column A to the corresponding *Amounts in this section may be different from amounts amounts from Column B reported in Column B. of your fast 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). FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ra.gov (866/275.3772) www.fppc.ca.gov RChP_dt11A A Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 from 9/20/2020FORM through 10/17/2020 Page 4 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Fitzsimmons for Saratoga Council 2020 1432153 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE. ALSO ENTER I. D. NUMBER) (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN.i-DEC, 31) (IF REQUIRED) 9/21/2020 Bella Mahoney ® ❑ IND IND COM n/a 200.00 200.00 200.00 ❑ OTH Hayward, CA 94127 ❑ PTY ❑ SCC ❑ IND 9/29/2020 Paul Conrado ❑ COM Homebuilder 250.00 250.00 250.00 Z OTH Conrado Company Saratoga, CA 95070 ❑ PTY ❑ SCC ® IND 10/1/2020 John Donovan ❑ COM n/a 1,000.00 1,000.00 1,000.00 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC 10/I/2020 Jon Kwong IND El n/a 500.00 500.00 500.00 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC 0IND 10/1/2020 Angela Ling ❑COD n/a 500.00 500.00 500.00 21511 Saratoga, CA 95070 ❑ PTY ❑ SCC SUBTOTAL $ Schedule A Summary 1. Amount received this period — itemized monetary contributions. 3,300.00 (Include all Schedule A subtotals.) .. ...................... ..................... ........................................................... .$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 0 3. Total monetary contributions received this period. 3,300.00 (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.). ..................... TOTAL $ '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 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA , from 9/20/2020 FORM ! through 10/17/2020 Page 5 of 6 NAME OF FILER I. BE Fitzsimmons for Saratoga Council 2020 1432153 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CON*OR OCCUPATIONAND EMPLOYER RECENEDTHIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE CODE QFSEtF-EMP{OYED.ENTER NAME) PERIOD (JAN. t- DEC. 31) (IF REQUIRED) 10J1/2020 Anil Mandava MIND ❑COM n/a 250-�•� 250.00 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC 10/8/2020 Mona Kaur MIND ❑COM Director -Human Resources 500.00 500.00 500.00 ❑ OTH ZineOne Inc Saratoga, CA 95070 ❑ PTY ❑SCC 10/17/2020 Christopher Coulter MIND❑COD Estate Manager 100.00 100.00 100.00 ❑ OTH Canada Vista Saratoga, CA 95070 ❑ PTY ❑SCC ❑ IND ❑COD ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COD ❑ OTH ❑ PTY SC SUBTOTALS '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 FPPC Form 460 (1an/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded Payments Made to whole dollars. SEE Fitzsimmons for Saratoga Council 2020 statement covers from 9/20/2020 through 10/17/2020 I Page 6 1432153 Of6 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia/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 filingiballot 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 (internal, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID QF COMMITTEE, ALSO ENTER I.D. NUMBER) QuickData Media Inc I LIT mailer 1 3,770.59 1701 Fortune Drive, Suite D, San Jose, CA 95131 QuickData Media Inc I LIT ( mailer 2 13,770.59 1701 Fortune Drive, Suite D, San Jose, CA 95131 " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL f 7,541.18 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 7,541.18 2. Unitemized payments made this period of under$100................................................................................................................................... 0 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 $ 7,541.18 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.co.gov (866/275-3772) www.fppc.ca.gov