HomeMy WebLinkAboutPreserve Saratoga -Form 460 1-2021Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from ( 0 J, -c/,-o
through I z..b / b o
1. Type of Recipient Committee: All Committees -Complete Parts 1, 2 , 3, and 4 .
D Officeholder, Candidate Controlled Committee
0 State Candidate Election Committee
0 Recall
{Also Compete Part 5)
~ General Purpose Committee
§ Sponsored
Small Contributor Committee
Politica l Party/Central Committee
3. Committee Information
D Primarily Formed Ballot Measure
Committee
8 Controlled
Sponsored
(A~o Compete Part 6)
D Primarily Formed Candidate/
Officeholder Committee
(Also Compete Part n
LD . NUMBER
COMMITT EE NAM E (OR CANDIDAT E'S NAME IF NO COMMITTEE)
~ ltQ., ? f,\ \) e,. ~ QA q.., f c.;. ) ,..-
'-..,
STR
CIT Y STATE ZIP CODE AREA CODE/PHONE
~c~_.:r-... ,..\-(J-C,r)-1rs-~7v '{
MAILING ADDR ESS (IF QJ1 FERENT) NO . AND STREET-OR-F5:0. BOX
C ITY STATE ZIP COD E AR EA CODE/PHON E
OPTIONAL FAX/ E-MAIL ADDR ESS
~
4. Verification
Date of election if applicable:
(Month, Day, Year)
1-.hJ\I. z, I u ·z..,O
I
2. Type of Statement:
Q. Preelection Statement
·~ Semi-annual Statement
D Termination Statement
Date Stamp
COVER PA G E
CALIFORNIA 460
FORM
-""ff Page /
' RECEJVEQ For Official Use Only
of .3
FEB 09'2020
D Quarterly Statement
D Special Odd-Year Report
(Also file a Form 41 O Termination)
D Amendment (Explain below)
Treasurer(s)
NAME OF TREASURER
~>F-l-
MAI LI NG ADDR ESh
t4-. S::Jlu...u U-<. f--=-
~~
CITY STATE Z IP CODE
SL(A-t-~ S079
NAME OF ASSISTAN
MAILING ADDR ESS
CITY STATE ZIP CODE
OPTIONAL : FA X/ E-MAIL ADDR ESS
-~
AR EA CODE/PHONE
AREA CODE/PHONE
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained here in and in the attached schedules is true and complete .
certify under penalty of perjury under the laws of the State of Ca lifornia that the foregoing is true
:;:::::~!(,,.,,,== Da(e
Executed on _ . By __ . _ _ __ _ _ _ .. . ---• _
Exec uted on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent
Exec ut ed on Date By ---P Signature of Controlling Officeholder, Candidate , State Measure roponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
,.".,. .. , ___ ----··
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
F r<.L,se,,,. u "--51v1 vr,,.. ,.+ 1r
Contributions Received
1. Monetary Contributions ................................................. ..
2. Loans Received
3. SUBTOTAL CASH CONTRIBUTIONS
4. Non monetary Contributions .................... .. ................ ..
Schedule A, Line 3
Schedule B, Line 3
Add Lines 1 + 2
Schedule C, Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ................................ AddLines 3+4
Expenditures Made
$
$
$
6. Payments Made ............................................................... ScheduleE, Line4 $
7. Loans M'!:rW! ........ .R ~,r..~l..J) ...................................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... AddLines 6+ 7 $
9. Accrued Expenses (Unpaid Bills)
10 . Non monetary Adjustment... ..
11 . TOTAL EX PENDITURES MADE
Current Cash Statement
12 . Beginning Cash Balance
13 . Cash Receipts
14 . Miscellaneous Increases to Cash
15 . Cash Payments
..................... Schedule F, Line 3
.. . Schedule C, Line 3
..................... Add Lines 8 + 9 + 10
Previous Summary Page, Line 16
Column A, Line 3 above
Schedule I, Line 4
Column A, Line 8 above
16. ENDING CASH BALANCE ..... Add Lines 12 + 13 + 14, then s ubtract Line 15
ff this is a termination statement, Line 16 must be zero.
17 . LOAN GUARANTEES RECEIVED Schedule B, Part 2
Cash Equivalents and Outstanding Debts
$
$
$
$
18 . Cash Equivalents See instruc tions on reverse $
19 . Outstanding Debts Add Line 2 + Line 9 in Column B above $
Amounts may be rounded
to whole dollars.
SUMMARY PAGE
from · -
CALIFORNIA 460
FORM
through
Column A Column B
TO TAL THIS PE RIOD CALENDAR Y EAR
(FROM ATTACH ED SCHEDULES) TOTAL TO DAT E
I S°" JC, $ 1 'i"-J o l '6
{s,_7 $1'£ 9
1,s:19 $ 2.:l , fs7 7
7
l{;; 11'. $ ~37,
-o -$ I O I :3_5/
J -u-
IJil.k. 7
J5}'i
7
..,3 3 5'-
f (£'CO
_s-,g £_l
J
$ L{.;z ) Z.[3
7
-
-
$ Lb ,213
J
To calculate Column B,
add amount s in Column
A to 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).
I r )2.1 /z.-o
I
Page Z of 3 -=---
I.D . NUMBER
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1 /1 through 6/30 7/1 to Date
20. Contributions
Received $ ____ _ $ ____ _
21 . Expenditures
Made $~~~~~-$ ____ _
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Lim it)
Date of Election
(mm /dd/yy)
Total to Date
$ ___ _
$ ___ _
*Amounts in this secti on 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
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
-f'I\.Q_:;.~v t. ..S~~/\t1
DATE
RECEIVED
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
(I F CO MMITTEE . ALSO ENTE R I.D. NUMBER )
1v .,_; Q: f'<?Yl<J / t"df.A, u)11~
.£~ v'fo>/'\" ~ , C,,Jf 'f S:0-7v
Schedule A Summary
1. Amount received this period -itemized monetary contributions.
Amounts may be rounded
to whole dollars.
CONTRIBUTOR
CODE*
[81.IND
DCOM
DOTH
DPTY
DSCC
M IND
DCOM
DOTH
DPTY
Dscc
IND
bcoM
Dorn
DPTY
Dscc
~IND
DCOM
DOTH
DPTY
Dscc
DIND
DCOM
DOTH
DPTY
Dscc
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOY ED , ENTER NAME
~t-~
~e---t~
~w.ifl(c~tl~
+;ce-t~
SUBTOTAL$
Statement covers period
from I Q h 'i' /'2-o
through J~/a 1,l?o
SCHEDULE A
CALIFORNIA 460
FORM
Page ~ or 3
1.D . NUMBER
AMOUNT
RECEIVED THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN . 1 -DEC . 31)
PER ELECTION
TO DATE
(IF REQUIRED)
./I -z.~
}) l ,:JO
-#3ee:>
~
,ev
.f 8"PC>
'Contributor Codes
IND -Individual
(Include all Schedule A subtotals.) ....................................................................... .. ~01) -.... $ _--=::__=----
COM -Recipient Committee
(other than PTY or SCC)
0TH -Other (e .g ., business entity)
PTY -Political Party 2. Amount received this period -unitemized monetary contributions of less than $100 ........................... $ CJ J 't ./
sec -Small Contributor Committee
3. Total monetary contributions received this period . . <;" 1 q
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ...................... TOTAL$ I FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
·········'---.,._ --··