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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