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Home My WebLink AboutFitzsimmons 6-2021 Semi annual Form 460Recipient Committee Campaign Statement Cover Page Statement covers period from 1/1/2021 SEE INSTRUCTIONS ON REVERSE through 6/30/2021 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ® Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall O Controlled (Mo Compkte Pad 5) o Sponsored (M. C-pkk Pat 6) ❑ eneral Purpose Committee Sponsored ❑ Primarily Formed Candidate/ Small Contributor Committee Officeholder Committee Political Party/Central Committee (AW Cw#eie Pads 3. Committee Information I_D.NUMBER Fitzsimmons for Saratoga Council 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE Saratoga CA 95070 MAILING ADDRESS OF DIFFERENT) NO. AND STREET OR P.O. BOX 14605 Big Basin Way CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS COVER PAGE i JI Date Stamp - I _ RECEA� Pag 1 of 5 Date of election if appllcabl (Month, Day, Year) '� << r) 17 .` For Official Use Only 11/3/2020 STY OF SARIATO 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) Treasurer(s) NAME OF TREASURER Kathleen Fitzsimmons MAILING ADDRESS CITY STATE ZIP CODE AREACODE/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 of Sponsor Executed on Date Signature of Controging Officeholder. Candidate, State Measure Proponent Executed onBY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460(1an/2016)) FPPC Advice: advice@fppc.ra.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 "Kooicie" Fitzsimmons OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Saratoga City Council RESIDENTIALIBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP Saratoga CA 95070 Related Committees Not Included in this Statement: Listanycommimes 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 AREACODEIPHONE COVER PAGE - PART 2 Page 2 of 5 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 List names of oh7ceholderfs) or candidate fs) 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 i/ necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ra.gov (866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE Statement covers period . 10411 to whole dollars. Summary Page from 1/1/2021 6/30/2021 Page 3 of 5 SEE INSTRUCTIONS ON REVERSE throw 9 h NAME OF FILER I.D. NUMBER Fitzsimmons for Saratoga Council 2020 1432153 Contributions Received Column A TOTAL THIS PERIOD Column 8 YEAR Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 0 $ 0 0 0 111 through 6/30 711 to Date 2. Loans Received................................................................ schedule a, Line 3 0 0 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 $ 0 $ 0 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made................................................................ schedule E, Line 4 $ 77.50 $ 77.50 Candidates 7. Loans Made....................................................................... Schedule H, Line 3 0 0 77.50 77.50 22. Cumulative Expenditures Made` 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines s+7 $ $ (It Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) .......................................... schedule F Line 3 0 0 Date of Election Total to Date 10. Nonmonetary Adjustment. ........... ............................................ schedule C, Line 3 0 0 (mm/ddlyy) 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 77.50 $ 77.50 $ $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 184.93 To calculate Column B, 13. Cash Receipts ........................ --............................... Column A, Line 3 above 0 add amounts in Column 14. Miscellaneous Increases to Cash .................................. schedule 1, Line 4 70 00 A to the corresponding amounts from Column B 'Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments......................................................... Column A, Line 6 above 77.50 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 177A3 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 s, Part 2 $ 0 filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 0 any)' 18. Cash Equivalents ................................................ see instructions onreverse $ 19. Outstanding Debts .............................. Add Line 2 +Line 9 in Column B above $ 6138.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded statement covers Payments Made to whole dollars. 1/1/2021 from SEE INSTRUCTIONS ON REVERSE through 6/30/2021 I Page 4 of 5 Fitzsimmons for Saratoga Council 2020 1432153 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign peraphemalia/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 (internal, e-mail) NAME ANDADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE. ALSO ENTER I.D. NUMBER) " Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 776.89 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 0 77.50 2. Unitemized payments made this period of under$100.......................................................................................................................................... $ 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 $ 77.50 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schpduita 1 SCHEDLJI-EI Miscellaneous Increases to Cash towholedollara. SEE INSTRUCTIONS ON REVERSE statement covers period from 1/1/2021 through 6/30/2021 CALIFORNIA FORM Page 5 of 5 NAME OF FILER I.D. NUMBER DATE RECEIVED FULL NAME ANDADDRESS OF SOURCE (IF COMMITTEE.ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Schedule 1 Summary 1. Itemized increases to cash this period . ........................................................................................................................... $ 2. Unitemized increases to cash of under $100 this period................................................................................................. $ 70.00 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).).......................................$ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the 70.00 SummaryPage, Line 14.)............................................................................................................................. TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov