2011/01/01 - 2011/06/30 - AFSCME - Form 460 - Amendment
Reclplent Committee
Campaign Statement
Cover Page
(Government Code Sections 84200-84216.5)
Type or print In Ink.
COVER PAGE
Date S~mp
CALIFORNIA 460
FORM
Date of election If applicable:'
(Month, Day, Year)
DEe 2011
CLERKS CP
1
4
Statement covers period
1/1/11
For Official Use Only
from
SEE INSTRUCTIONS ON REVERSE
6/30/11
through
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
o Officeholder, Candidate Controlled Committee 0 Primarily Formed Ballot Measure
o State Candidate Election Committee Committee
o Recall 0 Controlled
(AIStJ Complete Part 5) 0 Sponsored
(Also Complete Pert 6)
I;lI General Purpose Committee
~ Sponsored
o Small Contributor Committee
o Political Party/Central Committee
o Primarily Formed Candldatel
Officeholder Committee
(Also Complete Part 7)
Page
of
2. Type of Statement:
o Preelection Statement
o Semi-annual Statement
o Termination Statement
(Also file a Form 410 Termination)
hlI Amendment (Explain below)
To make correction to Schedule E and correct math error and
o Quarterly Statement
o Special Odd-Year Report
o Supplemental Preelection
Statement - Attach Form 495
3. Committee Information
include Schedule D
1.0. NUMBER
821697
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
AFSCME LOCAL 101 AFL-CIO PAC
STREET ADDRESS (NO P.O. BOX)
1150 N. First ST
CITY STATE ZIP CODE
San Jose, CA 95112
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
AREA CODE/PHONE
408-998-2070
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
Carol Garcia
MAILING ADDRESS
9529 California Oak Circle PATTERSON CA 209 895-4344
CITY
STATE ZIP CODE
AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
None
MAILING ADDRESS
CITY
STATE ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
funseeker@hotmail.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informatl contained hereln,and In the attached schedules is true and complete. I certify
under penalty of perjury under he la of he State of California that the foregoing is true and ect. .
Executed on By
Executed on By
Date
Executed on By
Date
Executed on By
Date
Slgneture of Controlling Ofllc:eholder. Candidate, Slata Maasure Proponent or ReSflOnslble Ol!lcer of SponStJr
Signature or ControlHng Officeholder, Cardldate, Stale Measure Proponent
Signature of Controlling Offloaholder. Candidate, State Measure Proponent
FPPC Form 480 (January/06)
FPPC Toll-Free Helpline: 866/ASK-FPPC (866/276-3772)
State of California
Campaign Disclosure Statement
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AFSME LOCAL 101 PAC
Contributions Received
1. Monetary Contributions ........................................... Schedule A, Line 3
2. Loans Received ...................................................... ScheduleS, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2
4. Nonmonetary Contributions .................................... Schedule C. Line 3
5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4
Expenditures Made
6. Payments Made ....................................................... Schedule c, Line 4 $
7. Loans Made ............................................................. ScheduleH, Line 3
8. SUBTOTAL CASH PAYMENTS .................................... Add Lines 6 + 7 $
9. Accrued Expenses (Unpaid Bills) ............................... Schedule F. Line 3
10. Nonmonetary Adjustment .......................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 + 9 + 10 $
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summery Page, Line 16 $
13. Cash Receipts ................................................... ColumnA, Line 3 above
14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4
15. Cash Payments .................................................. ColumnA, Line 8 above
16. ENDING CASH BALANCE.......... Add Lines 12 + 13 + 14, then subtract Line 15 $
If this Is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... ScheduleS, Parl2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ........................................ See Instructions on reverse $
19. Outstanding Debts ......................... AddLlne2+Llne9/nColumnSabove $
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
$
$
$
5,000.00
o
5,000.00
o
o
5,000.00
18,809.28
o
o
5,000.00
13,809.28
from
through
Column B
CALENDAR YEAR
TOTAL TO DATE
o
o
o
o
o
$
$
$
$
5,000.00
o
5,000.00
o
o
5.000.00
$
$
To calculate Column B, add
amounts in Column A to the
corresponding amounts
from Column B of your last
report. Some amounts in
Column 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).
Statement cover. period
1/1/11
6/30/11
SUMMARY PAGE
1.0. NUMBER
821697
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
o
o
o
o
o
20. Contributions
Received $
21. Expenditures
Made $
1/1 through 6/30
7/1 to Date
$
$
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(If SubJect to VolunlllrY Expenditure LImit)
Date of Election
(mm/dd/yy)
---.J---.J_
Total to Date
---.J---.J_ $
$
"Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (January/06)
FPPC TolI.Free Helpline: 866/ASK.FPPC (866/276-3772)
from
1/1/11
CALIFORNIA 460
FORM
SCHEDULE E
Schedule E
Payments Made
Type or print In Ink.
Amounts may be rounded
to whole dollars.
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AFSMELOCAL101PAC
through
6/30/11
Page 3. of L
1.0. NUMBER
821697
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
0v'P campaign paraphernallalmisc. 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 per petition circulating TEL t.v. or cable airtime and production costs
FIL candidate filinglballot fees PHO phone banks iRC candidate travel, lodging, and meals
FND fundraislng events POL polling and survey research iRS staff/spouse travel, lodging, and meals
IN) 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 VvEB information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER 1.0. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
COPE BOWLING FUNDRAISER
2102 ALMADEN RD SUITE 107 CTB 5,000.00
SAN JOSE, CA #744711
* Payments that are contributions or Independent expenditures must also be summarized on Schedule D.
SUBTOTAL $
5,000.00
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................................................................................................. $
2. Unitemized payments made this period of under $100 ..................... .......................................... ................................ ............... ........ .............. ...... $
3. Total interest paid this period on loans. (Enter amountfrom Schedule S, Part 1, Column (e).) ............................................................................... $
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, ColumnA, Line 6.) ............................. TOTAL $
5,000.00
o
o
5,000.00
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 868/ASK-FPPC (866/275-3772)
Schedule 0
Summary of Expenditures
Supporting/Opposing Other
Candidates, Measures and Committees
Type or print In Ink.
Amounts may be rounded
to whole dollars.
SCHEDULE 0
from
1/1/11
CALIFORNIA 460
FORM
Statement covers period
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AFSME LOCAL 101 PAC
through
6/30/11
Page '-/
1.0. NUMBER
821697
tf
of
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
OR COMMITTEE
TYPE OF PAYMENT
DESCRIPTION
(IF REQUIRED)
AMOUNT THIS
PERIOD
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC. 31)
PER ELECTION
TO DATE
(IF REQUIRED)
IZI Support
o Oppose
LZJ Monetary BOWLING FUNDRAISER
Contribution
o Nonmonetary
Contribution
o Independent
Expenditure
5,000.00
5,000.00
Y /JD/tl
J
COPE
2102 ALMADEN RD SUITE 107
SAN JOSE, CA #744711
o Support
o Oppose
o Monetary
Contribution
o Nonmonetary
Contribution
o Independent
Expenditure
o Support
o Oppose
o Monetary
Contribution
o Nonmonetary
Contribution
o Independent
Expenditure
SUBTOTAL $
Schedule 0 Summary
1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ......................................................... $
2. Unitemized contributions and independent expenditures made this period of under $1 00 .............. ..................................................... .................. $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
5,000.00
5,000.00
FPPC Form 460 (January/05)
FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772)