2012/01/01 - 2012/06/30 - AFSCME - Form 460Recipient Committee
Campaign Statement
Cover Page
(Government Code Sections 84200 - 84216.5)
SEE INSTRUCTIONS ON REVERSE
Type or print in ink.
Statement covers period
from 1/01/12
through 6/30/12
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
Q State Candidate Election Committee Committee
Q Recall Q Controlled
(Also Complete Part 5) Q Sponsored
(Also Complete Part 6)
® General Purpose Committee
g Sponsored ❑ Primarily Formed Candidate/
Q Small Contributor Committee Officeholder Committee
Q Political Party /Central Committee (Also Complete Part 7)
3. Committee Information I.D. 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 AREA CODE /PHONE
San Jose, CA 95112
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODE /PHONE
OPTIONAL: FAX / E -MAIL ADDRESS
Date of election if applicable:
(Month, Day, Year)
Date Stamp
JUI. 2012...
CLERKS r
2. Type of Statement:
❑ Preelection Statement
QJ Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page of
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement -Attach Form 495
Treasurer(s)
NAME OF TREASURER
Carol Garcia
MAILING ADDRESS
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE /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 knowledge the information contained herein and in the attached schedules is true and complete. 1 certify
under penalty of perjury under the laws of the State of California that the foregoing is true
Executed on
Date
Executed on
Date
Executed on
Date
By
By
Signature of Controlling Officeholder, Candidate, State 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 (January/06)
FPPC Toil -Free Heipline: 866 1ASK -FPPC (866/276 -3772)
State of California
Campaign Disclosure Statement
Summary Page
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/01/12
SUMMARY PAGE
SEE INSTRUCTIONS ON REVERSE
through
6/30/12
Page 2 of 7
NAME OF FILER
I.D. NUMBER
AFSME LOCAL 101 PAC
821697
Contributions Received
Column A
TOTALTHISPERIOD
Column B
Calendar Year Summary for Candidates
(FROMATTACHED SCHEDULES)
CALENDARYEAR
TOTALTO DATE
r
Running r7 in Both the State Primary and
General Elections
1. Monetary Contributions ............ ...............................
schedule A, Line 3
$ 55,000.00 $
55,000.00
0
0
1/1 through 6/30 7!1 to Date
2. Loans Received ....................... ...............................
schedule B, Line 3
3. SUBTOTAL CASH CONTRIBUTIONS
......................... Add Lines 1 + 2
$ 55,000.00 $
55,000.00
20. Contributions
Received $ 0 $
4. Nonmonetary Contributions ..... ...............................
Schedule C, Line 3
0
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED
•..•••• •.•••.•..•.•••.••..• Add Lines 3 +4
$ 55,000.00 $
55,000.00
Made $ 0 $
Expenditures Made
6. Payments Made ........................ ............................... Schedule E, line 4 $ 55,500.00
7. Loans Made .............................. ............................... schedule H, Line 3 0
8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 55,500.00
9. Accrued Expenses (Unpaid Bills) ............................... schedule F Line 3 0
10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3
11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +9 +10 $ 55,500.00
Current Cash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 3409.28
13. Cash Receipts .................... ............................... Column A, Line 3above 55,000.00
14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0
15. Cash Payments ................... ............................... Column A, Linea above 55,500.00
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract tine 15 $ 2,909.28
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED ........................... schedule B, Part 2 $ '9,
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ......... ............................... See instructions on reverse $ —o
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
$ 55,500.00
0
$ 55,500.00
0
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made`
(it subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
$ 55,500.00 I �_1
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).
$
$
Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Januaryl06)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2763772)
Schedule A Type or print in ink. SCHEDULE A
Monetary Contributions Received Amounts may be rounded
�/ to whole dollars.
Statement covers period _
,
from 1/01/12 FORM
6/30/12 3 7
SEE INSTRUCTIONS ON REVERSE
through Page of
NAME OF FILER I.D. NUMBER
AFSME LOCAL 101 PAC 821697
DATE
DE O
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR
RALSAND ZIP
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
(E COMMITTEE, I.D. NUMBER)
CODE *
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
❑IND
3/15/12
AFSCME LOCAL 101
❑COM
5,000.00
5,000.00
1150 N. FIRST ST SUITE 101
®OTH
SAN JOSE, CA 95112
❑ PTY
❑ SCC
❑IND
4/19/12
AFSCME LOCAL 101
El COM
50,000.00
55,000.00
1150 N. FIRST ST SUITE 101
MOTH
SAN JOSE, CA 95112
❑ PTY
❑ SCC
❑IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL$ 55,000.00
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) ......................................................................... ............................... $
2. Amount received this period — unitemized monetary contributions of less than $100 ............................. $
3. Total monetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $
55,000.00
I
55,000.00
`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 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule D
Sr.HFn(11 F n
Summary of Expenditures Type or print in ink.
Statement covers period
"
Supporting/Opposing Other Amounts may be rounded
• . '
-
to whole dollars.
1/01/12
from
•
Candidates, Measures and Committees
through 6/30/12
page 4 of 7
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.D. NUMBER
AFSME LOCAL 101 PAC
821697
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
TYPE OF PAYMENT
DESCRIPTION
AMOUNT THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
MEASURE NUMBER OR LETTER AND JURISDICTION,
(IF REQUIRED)
PERIOD
(JAN. 1 -DEC. 31)
(IF REQUIRED)
OR COMMITTEE
FRIENDS OF JIM BEALL
Qj Monetary
CHECK #1503
3/21/12
PO. BOX 72007
Contribution
1,000.00
1,000.00
SAN JOSE, CA 95172
❑ Nonmonetary
FPPC# 1304649
Contribution
❑ Independent
m Support ❑ Oppose
Expenditure
3/21/12
COMMITTE TO ELECT STEVE KLINE 2012
❑ Monetary
Contribution
CHECK# 1504
716 RICHMOND AVE
500.00
500.00
SAN JOSE, CA 95128
❑ Nonmonetary
Contribution
FPPC# 1343630
❑ Independent
m Support ❑ Oppose
Expenditure
REELECT ASH KALARA TO CITY
Monetary
CHECK # 1505
3/21/12
COUNCIL
Contribution
500.00
500.00
96 ROOSTER CT
❑ Nonmonetary
SAN JOSE, CA 95136 FPPC# 1343638
Contribution
❑ Independent
® Support ❑ Oppose
Expenditure
SUBTOTAL $ 2,000.00
Schedule D 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 $100 ...................................................... ............................... $
3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) ............ TOTAL $
55,500.00
0
55,500.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)
Schedule D
(Continuation Sheet)
Type or print In Ink.
ccuGnl u G n a-nniri
summary of txpenci nures Amounts may oe rountleci
Statement covers period
Supporting/Opposing to whole dollars.
ORNIA
460
Candidates, Measures and Committees
from 1/01/12
FORM
through 6/30/12
Page 5 of 7
NAME OF FILER
I.D. NUMBER
AFSME LOCAL 101 PAC
821697
DATE
NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR
MEASURE NUMBER OR LETTER AND JURISDICTION,
TYPE OF PAYMENT
DESCRIPTION'
AMOUNT THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
OR COMMITTEE
OF REQUIRED)
PERIOD
(JAN, t -DEC. 31)
(IF REQUIRED)
KANSEN CHU FOR GOOD
® Monetary
CHECK # 1506
3/21/12
GOVERNMENT -CITY COUNCIL 2012
2530 BERRYESSA ROAD PMB 817
Contribution
❑ Nonmonetary
500.00
it
SAN JOSE, CA 95136 FPPC# 1343113
Contribution
500. 00
❑ Independent
® Support ❑ Oppose
Expenditure
BRIAN O'NEIL FOR CITY COUNCIL
® Monetary
CHECK # 1507
3/21 /12
716 DALEWOOD CT
Contribution
SAN JOSE, CA 95120
❑ Nonmonetary
500.00
�J e0
FPPC# 1343183
Contribution
❑ Independent
0 Support ❑ Oppose
Expenditure
3/21/12
COPE- FPPC #744711
Monetary
CHECK# 1508
2102 ALMADEN RD SUITE 107
Contribution
2500.00
��SbC UU
SAN JOSE, CA 95125
❑ Nonmonetary
Contribution
❑ Independent
® Support ❑ Oppose
Expenditure
SAN JOSE CAN DO BETTER NO ON B
Monetary
CHECK # 1509
4/19/12
1150 N FIRST ST SUITE 102
Contribution
50,000.00
57c), C)ev CC
SAN JOSE, CA 95112
❑ Nonmonetary
FPPC 1346477
Contribution
❑ Independent
❑ Support Oppose
Expenditure
SUBTOTAL $ 53,500.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
AFSME LOCAL 101 PAC
Type or print in ink.
Amounts may be rounded
to whole dollars.
SCHEDULE E
Statement covers period CALIFORNIA I • '
from 1/01/12 FORM
through 6/30/12 page 6 of 7
I.D. NUMBER
821697
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CW
campaign paraphernalia /misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
M[TG
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
NID
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 (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID
FRIENDS OF JIM BEALL I CHECK # 1503 PAC CONTRIBUTION
PO. BOX 72007 CTB 1,000.00
SAN JOSE, CA 95172
COMMITTE TO ELECT STEVE KLINE 2012 1 CHECK # 1504 PAC CONTRIBUTION
716 RICHMOND AVE CTB 500.00
SAN JOSE, CA 95128
REELECT ASH KALARA TO CITY COUNCIL I CHECK # 1505 PAC CONTRIBUTION
96 ROOSTER CT CTB 500.00
SAN JOSE, CA 95136 FPPC# 1343638
* Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ ELI
Schedule E Summary 1_�l Dom. UU
1. Itemized payments made this period. (Include all Schedule E subtotals.) .............................. $ 55,500.00
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).) ................................................ ............................... $ "er,
4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6. TOTAL $ 55,500.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)
Schedule E
(Continuation Sheet)
Payments Made
SEE
ME OF FILER
AFSME LOCAL 101 PAC
Type or print in ink.
Amounts may be rounded
to whole dollars.
Statement covers period
from 1/01/12
through 6/30/12
SCHEDULE E (CONT.)
Page 7 of 7
I.D. NUMBER
821697
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CIvP
campaign paraphernalia/misc.
MBR
member communications
RAID
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 (intemet, e-mail)
NAME AND ADDRESS OF PAYEE
QF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
KANSEN CHU FOR GOOD GOVERNMENT -CITY COUNCIL 2012
CHECK # 1506 PAC CONTRIBUTION
2530 BERRYESSA ROAD PMB 817
CTB
500.00
SAN JOSE, CA 95136 FPPC# 1343113
BRIAN O'NEIL FOR CITY COUNCIL
CHECK # 1507 PAC CONTRIBUTION
716 DALEWOOD CT
CTB
500.00
SAN JOSE, CA 95120
COPE- FPPC #744711
CHECK # 1508 PAC CONTRIBUTION
2102 ALMADEN RD SUITE 107
CTB
2,500.00
SAN JOSE, CA 95125
SAN JOSE CAN DO BETTER NO ON B
CHECK # 1509 PAC CONTRIBUTION
1150 N FIRST ST SUITE 102
CTB
50,000.00
SAN JOSE, CA 95112
" Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 53,500.00
FPPC Form 460 (January/05)
FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772)