HomeMy WebLinkAboutPreserve Saratoga amended 1st pre-election Form 460COVER PAGE
Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from "7 I ) I Z- o
through 1 1 1 5/ Zy
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall O Controlled
(Also Complete Part5) o Sponsored
(Also Complete Partti)
General Purpose Committee
xn Sponsored ❑ Primarily Formed Candidate/
Small Contributor Committee Officeholder Committee
Political Party/Central Committee (Also Complete Part7)
3. Committee Information I.D. NUMBER
tq/ z 33 z-
f*F_& Se4v L 5~rz) Cam'
STREET ADDRESS (NO P.O. BOX)
19 Z g 1 �;A^) #pytC'g5
CITY STATE ZIP CODE AREA CODE/PHONE
'brtart A, 'r 60 9s070 JVOY,
ADDRESW DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
4. Verification
Date Stamp
RwECkE �E
Date of election if applicable:
(Month, Day, Year)
I CITY OF SP,RA
11 1.3 / --"o
2. Type of Statement:
Page _I of I
For Official Use Only
❑ Preelection Statement ❑ Quarterly Statement
❑ Semi-annual Statement ❑ Special Odd -Year Report
❑ Termination Statement
(Also file a Form 410 Termination)
Amendment (Explain below)
afmog : Oy") 7-71--'�p )s)- 1,0&rJ 10XPyW -r1
C0 fie-IQL— C 72—� hlOAE
Treasurer(s)
NAME OF TREASURER
zLf�. '009 5C_
MAII IN(,Ar)r)RFS. ..
5-d 7y `boa 5-ZgYy77-
NAME OFASSISTA REASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL:
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
certify under penalty of perjury under the laws of the State of California that the foregoing
Treasurer
Executed on
Date
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, Slate Measure Proponent or Responsible Officer of Sponsor
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)
. .. c...__ .......
Campaign Disclosure Statement
Amounts may be rounded
SUMMARY PAGE
Statement covers period
• .
0
to whole dollars.
Summary Page
from
7 IJ 2 d
•
Page 2' of `
SEE INSTRUCTIONS ON REVERSE
through
(r/Z
NAME OF FILER
I.D. NUMBER
�1LGSP.r v c vie,
)1I 2-
Contributions Received
Column A
TOTALTHIS PERIOD
Column B
CALENDAR YEAR
Calendar Year Summary for Candidates
(FROM ATTACHED SCHEDULES)
TOTAL TO DATE
Running in Both the State Primary and
General Elections
1. Monetary Contributions...................................................
Schedule A, Line
$
S00
$
6
6 �59
1/1 through 6/30 7/1 to Date
2. Loans Received................................................................
Schedule B, Line
Gy
20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
$
%%,3 5 / '�
/
$
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED...............................Add
Lines 3+4
$
//. 3S9
$
Made $ $
Expenditures Made
Expenditure Limit Summary for State
6. Payments Made................................................................
Schedule E, Line 4
$
4�382. •
$
Candidates
7. Loans Made.......................................................................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS
6,,3
22. Cumulative Expenditures Made"
.......................................
Add Lines 6+7
$
$
(If Su bject to Volu ntary Expenditu re Lim it)
9. Accrued Expenses (Unpaid Bills) ..........................................Schedule
F Line 3
Date of Election Total to Date
10. Nonmonetary Adjustment.........................................................
Schedule C, Line 3
(mm/dd/yy)
,
6,/ 38Z, 8T
11. TOTAL EXPENDITURES MADE ....................................
Add Lines 6 + 9 + 10
$
$
$
—�� $
Current Cash Statement
12. Beginning Cash Balance ............................ Previous Summary Page, Line 16
$��
G
/
To calculate Column B,
J
13. Cash Receipts...........................................................
Column A, Line 3 above
add amounts in Column
14. Miscellaneous Increases to Cash ..................................
Schedule 1, Line 4
A to the corresponding
amounts from Column B
*Amounts in this section may be different from amounts
15. Cash Payments.........................................................
Column A, Line 6 above
./
6 3Sz . 9Y
of your last report. Some
reported in Column B.
/
`� 7/
amounts in Column A may
16. ENDING CASH BALANCE .................. Add Lines 12 + 13+
14, then subtract Line 15
$
be negative figures that
should be subtracted from
If this is a termination statement, Line 16 must be zero.
previous period amounts. If
this is the first report being
17. LOAN GUARANTEES RECEIVED ................................
Schedule B, Part
$
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
any).
18. Cash Equivalents ................................................ See instructions on reverse
$
q 6 It
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above
$
G. 8 �/
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
n_�_.a..r.. A Amounts may be rounded SCHEDULE A
It cped
towhole oars. Statem7,07,rs
Monetary Contributions Received
CALIFORNIA
, •'
from � ",
• '
) 2
Page of 7
through
SEE INSTRUCTIONS ON REVERSE
I.D. NUMBER
NAME OF FILER
DATE
FULL NAME,STREETADDRESSAND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDARYEAR
PER ELECTION
TO DATE
RECEIVED
CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
*
CODE
(IF SELF-EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED )
.i
c�cc/!c¢iJo� ezJ %G� 070
❑PTY
❑SCC
yy
❑COM
r3.77 Co n'p
El
a, cz Y�y �t C f� !d ZC7
❑ PTY
❑SCC
%
lz
/� � ) y�
CJ'�Y� ! �� / `! r � i
XI N D
❑ COM
n
�[
+S e w
1 -
❑PTY
.Zqq/'t �
0 COM
1.,/ ...
��
❑ OTH
�'
6 o 7o
L
❑ PTY
❑ ScC
C D
r
`�11 -C-LG)
%M?�
� /Cop
�wtw7e sl t� l� `7�D7a
[]PTY
❑SCC
SUBTOTAL $
Schedule A Summary
1. Amount received this period — itemized monetary contributions. —
(Include all Schedule A subtotals.).............................................................................................I...........$
2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$
"Contributor Codes
IND - Individual
COW - Recipient Committee
(other than PTY or SCC)
OTH - Other (e.g., business entity)
PTY - Political Party
SCC - Small Contributor Committee
3. Total monetary contributions received this period. r
Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ `� FPPC Form 460 ()an/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.)
MonetaryContributions Received to whole dollars.
Statement covers period
, ,
� 1
from !� � 1 7-- c
FORM .
I c5
Page of —7
through
NAME OF FILER
I.D. NUMBER
P�--\X 0
/) z3 :5 22-
DATE
FULL NAME, S TADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
CONTRIBUTOR
*
OCCUPATION AND EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
RECEIVED
(IF CDMMITTEE,ALSO ENTER I.D. NUMBER)
CODE
(IF SELF-EMPLOYED, ENTER NAME)
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
J i'z
)>, J /'
IND
OM
nC.;T1►2rrc
(�Z�C7
UZ�
D
IGCS G���'7 �-'►1 r 7 `
El
❑ PTY
`a c�
❑ SCC
%
�)�/
rn�c goy ��yVEl
MIND
❑COM
OTH
R
EI PTY
Y ® 70
❑ SCC
�ldl I
r
I?�Gp � y�e--C-AA
fiJIND
�oOH
'� uF=�Y1RL.-
--
lI
1�WGhI
/1,-
❑ PTY
(i
iT-i✓ ��
o C!t ri 5o70
❑SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑IND
❑COM
❑ OTH
❑ PTY
SCC
SUBTOTAL $ ��
r �
•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 B - PART 1
Schedule B — Part 1 Vtowhole dollars.
Statement covers period
, CLIF• _ , '
Loans Received
7 %/ %Za
from
•
through 1iv
Page _:�- of-7
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
1 rres�ve ��w�o
14// z 33 2--
FULL NAME, STREETADDRESS AND ZIP CODE
FAN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
OUTSTANDING
AMOUNT
c
AMOUNT PAID
OUTSTANDING
e
INTEREST
ORIGINAL
g
CUMULATIVE
OF LENDER
BALANCE
RECEIVED THIS
OR FORGIVEN
BALANCE AT
PAID THIS
AMOUNTOF
CONTRIBUTIONS
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
BEGINNING THIS
PERIOD
THIS PERIOD*
CLOSE OF THIS
PERIOD
LOAN
TO DATE
NAME OF BUSINESS)
PERIOD
PERIOD
_����
❑PAID
CALENDAR YEAR
�� ��� �, � ��/}� ��
�• ��� X
L.
/A 6, 19
PER ELECTION
5,50 7O
$
$
$
$
$
ti
I$IND El COM ❑ OTH El PTY ❑ SCCUE
DATE�1i
DATE
A EARED
PAID
CALENDAR YEAR
$
$
k
$
$
❑ FORGIVEN
RATE
PER ELECTION—
t ❑ IND ❑ COM ❑ OTH El ❑SCC
$
$
$
$
$
DATE DUE
DATE INCURRED
❑ PAID
CALENDAR YEAR
$
$
°k
$
$
❑ FORGIVEN
PER ELECTION-
RATE
DATE DUE
DATE INCURRED
t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
SUBTOTALS $ $ $ $
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.
$ � kp
......................... $
..... NET $
(May be a negative number)
(e) 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
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
1.� It 0-3V .0 b 's �f��c. ,�.�, &f)--
Amounts may be rounded
to whole dollars.
Statement covers er.od
from / ;
through
Page b of `
l -! 1.z .3 :3 2--
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
RAD
RFD
radio airtime and production costs
returned contributions
CNS
campaign consultants
MTG
meetings and appearances
SAL
campaign workers' salaries
CTB
contribution (explain nonmonetary)"
OFC
PET
office expenses
petition circulating
TEL
t.v. or cable airtime and production costs
CVC
civic donations
PHO
phone banks
TRC
candidate travel, lodging, and meals
FIL
candidate filing/ballot fees
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
FND
IND
fundrafsing events
independent expenditure supporting/opposing others (explain)"
POS
postage, delivery and messenger services
TSF
VOT
transfer between committeesofthe same candidate/sponsor
voter registration
PRO
professional services (legal, accounting)
LEG
legal defense
PRT
print ads
WEB
information technology costs (Internet, e-mail)
LIT
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
J�_&w%q v4 -�r A�
CODE OR DESCRIPTION OF PAYMENT
box
oke4s ( S C- - 6,_"
U_j/~9
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) ................ .••.••.............••..•••.•••••.••
2. Unitemized payments made this period of under$100................................................................................................................
AMOUNT PAID
z01r�
1 -"42
SUBTOTAL $ ,/
I-35,(-"6y
$
............$•2,�
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)............................................................................. $ "' d ✓
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary gage, Column A, Line 6.) ........................... TOTAL $ _ 39
Z
FPPC Form 460 (Jan/2016))
FPPC Advice: advlce@fppc.ce.gov (866/275-3772)
www.fppc.ca.gov
CALIFORNIA
Form 462 •-
•
Verification of Independent Expenditures
This verification form identifies the individual responsible for ensuring that a campaign committee's independent Amendment (Explain)
expenditures were not coordinated with the listed candidate (or the opponent) or measure committee and that the
committee will report all contributions and reimbursements as required by law. An independent expenditure is not
subject to state or local contribution limits.
N$i1i@_1 Ci�t11rY1(�@ COMMITTEE ID #v
77777
NAME OF RECIPIENT COMMITTEE, ENTITY OR INDIVIDUAL
CITY
STREET ADDRESS l o
STATE ZIP CODE
E-MAIL
TELEPHONE NUMBER
or measure(s) listed on a ballot for the election date identified below. (Note:
This committee has reported an independent expenditures) to support or oppose the candidates)
orting period of Government
The reporting of an independent expenditure may occur after this form is filed if an independent expenditure is made before the 90 day, 24-hour re P
cnde Sections 84204 and 85500.)
ELECTION DATE
NAME OF CANDIDATE (First/Last) OR BALLOT MEASURE
NAME OF CANDIDATE (First/Last) OR BALLOT MEASURE
NAME OF CANDIDATE (First/Last) OR BALLOT MEASURE
NAME OF CANDIDATE (First/Last) OR BALLOT MEASURE
OPPOSE
OFFICE SOUGHT OR HELD/ BALLOT NO./LETTER
OFFICE OUGHT OR HELD/ BALLOT NO./LETTER
JURISDICTION AND DISTRICT, IF ANY
JURISDICTION AND STRICT, IF ANY
ELECTION DATE
z
OPPOSE
OPPOSE
OFFICE OUGHT OR HELD/ BALLOT NO./LETTER
JURISDICTION AN (STRICT, IF ANY
ELECTION DATE
'OSE Of-r-IC[ SOUGHT OR HELD/ BALLOT NO./LETTER JURISDICTION AND DISTRICT, IF ANY
ELECTION DATE
I have not received any unreported contributions or reimbursements to make these independent expenditures. I have not coordinated any expenditure made during this
reporting period with the candidate or the opponent of the candidate who is the subject of the expenditure, with the proponent or the opponent of the state measure that is the
subject of the expenditure, or with the agents of the candidate or the opponent of the candidate or the state measure proponent or opponent. I certify under penalty of perjury
under the laws of the State of California that the following is true and correct. n ry
Signed on ZLi �c 7
Signature
Printed Name moor , ay, year
FPPC Form 462 (Aug/2016)
(Check One): ePrincipalfficer Candidate/Officeholder State Ballot Measu re Proponent FppC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov