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Fitzsimmons -Form 460 2nd pre-election AMENDMENTRecipient 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. F*1 Qfficehclder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure V State Candidate Election Committee ommiftee O Recall Controlled (Also complete Pad 6) UUU Sponsored (A&o Compkte Parl 6) ❑ Purpose Committee Sponsored ❑ Primarily Formed Candidate/ gneral Small Contributor Committee Officeholder Committee Political Party/Central Committee (Also complete Pang 3. Committee Information I.D. NUMBER 1432153 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Fitzsimmons for Saratoga Council 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 OPTIONAL: FAX/E-MAIL ADDRESS COVER PAGE RECEIVED Date of election if applicab �',� Pao 1 of 6 (Month, Day, Year �' For -Official Use Only 11/3/2020 ITY OF SARATO A 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ® Amendment (Explain below) 2nd Pre -Election Amendment: Summary page amended to reflect removal of $3885.00 filing fees in the amended 1st Pre -Election form Treasurer(s) NAME OF TREASURER Kathleen Fitzsimmons MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE Saratoga CA 95070 NAME 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 knowle ge the information contained herein and in the attached schedules is true and complete. I certify under penalty of prrjury under the laws of the State of California that the foregQin or Responsible 01117-115p.risor Executed on BY Dale Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on BY Date Signature of Controlling ORceholtler. 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 Colleen "Kookie" Fitzsimmons OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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 forted 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 COVER PAGE - PART 2 Page 2 of 6 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ OPPOSE Identify 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 Listnames or officeholder(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 j ❑ 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 Statement covers period CALIFORNIA ' to whole dollars. Summary Page from 9/20/2020FORM • 10/17/2020 Page 3 of 6 SEE INSTRUCTIONS ON REVERSE throw 9 h NAME OF FILER I.D. NUMBER Fitzsimmons for Saratoga Council 2020 1432153 Column oo Calendar Year Summary for Candidates Contributions Received TOTAL CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A. Line 3 $ 3300.00 $ 3905.00 0 5100.00 1/1 Through 6/30 7/7 to Date 2. Loans Received................................................................ schedule B, Line 3 3300.00 9005.00 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 $ 3300.00 $ 9005.00 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule E, Line 4 $ 7541.18 $ 9216.18 7. Loans Made....................................................................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 7541.18 $ 9216.18 9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3 0 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 0 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 7541.18 $ 9216.18 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 4030.00 13. Cash Receipts........................................................... Column A, Line 3 above 3300.00 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line a 0 15. Cash Payments......................................................... Column A, Line 8above 7541.18 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ -211.18 I/ this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule8, Part2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse $ 0 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ 5100.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B 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 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 Amounts may be rounded SCHEDULE A Monetary Contributions Received to whole uoil.". Statement covers period a . , ' from 9/20/2020 a - 0 through 10/17/2020 Page 4 of 6 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Fitzsimmons for Saratoga Council 2020 14 22153 DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR WAN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED CONTRIBUTOR " CODE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN.1-DEC. 31) (IF REQUIRED) ® IND 9/21/2020 Bella Mahoney ❑ COM n/a 200.00 200.00 200.00 ❑ OTH Hayward, CA 94127 ❑ PTY ❑SCC ❑ IND 9/29/2020 Paul Conrado El COM Homebuilder 250.00 250.00 250.00 ® OTH Conrado Company Saratoga, CA 95070 ❑ PTY ❑ SCC m IND 10/l/2020 John Donovan El COM n/a 1,000.00 1,000.00 1,000.00 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC [Z IND 10/1/2020 Jon Kwong ❑ COM n/a 500.00 500.00 500.00 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC ®IND 10/1/2020 Angela Lin An g g ❑ COM n/a 500.00 500.00 500.00 ❑ OTH 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. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. 3>300.00 ( tY 9 ) ......................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 A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA , t from 9/20/2020 • - through 10/17/2020 Page 5 of 6 NAME OF FILER I.D. NUMBER , Fitzsimmons for Saratoga Council 2020 432153 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. AL50 ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME) PERIOD (JAN. i -DEC. 31) (IF REQUIRED) ® IND 10/1/2020 AnilMandava ❑COM n/a 250.00 250.00 250.00 ❑ OTH Saratoga, CA 95070 ❑ PTY ❑ SCC ® IND❑ 10/8/2020 Mona Kaur COM Director -Human Resources 500.00 500.00 500.00 ❑ OTH ZineOne Inc Saratoga, CA 95070 ❑ PTY ❑ SCC m IND 10/17/2020 Christopher Coulter P El COM Estate Manager 100.00 100.00 100.00 ❑ OTH Canada Vista Saratoga, CA 95070 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY SCC SUBTOTAL$ '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 E Amounts may be rounded Payments Made to whole dollars. SEE Fitzsimmons for Saratoga Council 2020 SCHEDULE E from 9/20/2020 10/17/2020 I page 6 of 6 1432153 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 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 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE, ALSO ENTER I.D. NUMBER) QuicicData Media Inc ( LIT mailer 1 13,770.59 San Jose, CA 95131 QuickData Media Inc I LIT mailer 2 3,770.59 San Jose, CA 95131 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 7,541.18 Schedule E Summary 7.541 1R 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 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.ca.gov (866/275-3772) www.fppc.ca.gov