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2013/01/01 - 2013/06/30 - AFSCME - Form 460Recipient Committee - - - - Type or print in Ink. Campaign Statement Cover Page - (Government Code Sections 84200 - 84216.5) Statement covers period Date of election If from 01 -01 -13 (Month, Day, SEE,INSTRUCTIONS ON REVERSE through 06 -30 -13 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 0 Controlled (Also Complete Part 5) Q Sponsored ® General Purpose Committee (Also Complete Part 6) ® 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 100 AFL -CIO PAC STREET ADDRESS (NO P.O. BOX) 1150 NORTH FIRST STREET 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 i cable• SEP 2013_ ;y CLERKS &v iii Garmy, e J COVER PAGE Page __ k L of 33 For Official Use Only 2. Type of Statements - s�, i tom' ❑ Preelection Statement ❑ Quarterly Statement ® Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER ELIZABETH BETTENCOURT 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 Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officerof Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK- FPPC.(866/275 -3772) State of California Recipient Committee Type or print in ink. COVER PAGE - PART 2 Campaign Statement CALIFORNIA • Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE N/A OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees 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 N/A NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE Page of 33 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE N/A BALLOT NO. OR LETTER I 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 officeholder(s) or candidate(s) for which this committee Is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT N/A [-]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 If necessary - FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772) State of California Campaign Disclosure Statement Type or print In ink. SUMMARY PAGE Summary Page Amounts may be rounded Statement covers period . to Whole dollars. 460 from 01 -01 -13 FORM through 06 -30 -13 c Page of 33 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO PAC 821697 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHIS PERIOD (FROMATTACHEDSCHEDULES) CALENDARYEAR TOTALTODATE Running in Both the State Primary and General Elections 1. Monetary Contributions ............ .................:............. schedule A, Line 3 $ 262605 , . 2,626.05 $ 2. Loans- Received ....................... ............................... schedule B, Line 3 0 0 1/1 through 6/30 7/1 to Date 3. SUBTOTALCASH CONTRIBUTIONS ................ Add Lines 1 + 2 $ " 2 626.05 2,626.05 $ 20. Contributions 0 0 Received $ $ 4. Nonmonetary Contributions .............. schedule C, Line 3 . " " " " " " " " " "" 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ......• ......• .............AddLines3 +4 $ 2,626.05 $ 2,626.05 Made $ 0 $ 0 Expenditures Made Expenditure Limit Summary for State 6. Payments Made ................ ..............................I ........ schedule E Line 4 $ 0 $ 0 Candidates 7. Loans Made .............................. ............................... schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines s +7 $ 0 $ 0 22. Cumulative Expenditures Made' (If 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 /dd /yy) 11. TOTAL EXPENDITURES MADE Add Lines 8 + 9 + 10 $ 0 . $ 0 _ J� $ 0 __// $ 0 Current Cash Statement 12. Beginning -Cash Balance ....................... Previous summary Page, Line 16 $ 3,259.28 . To calculate Column B, add 13. Cash Receipts ............... Column A, Line 3 above 2,626.05 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... schedule 1, Line 4 0. corresponding amounts from Column B of your last "Amounts in this section maybe different from amounts reported in Column B. 15. Cash Payments ...... Column A, Line 8 above 0 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add lines 12 + 13 + 14, then subtract Line 15 $ 5,885.33 figures that should be If this is a termination statement, Line 16 must be zero. subtracted from previous period amounts. If this is the first report being flied 17. LOAN GUARANTEES RECEIVED ........................... schedule e, Part.2 $ 0 for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 0 any)' 19'. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/2753772) Schedule A Type or print In Ink. SCHEDULE A Amounts may be rounded Monetary. Contributions Received to dollars. Statement covers period whole . from 01 -01 -13 F through 06 -30 -13 page 33 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO PAC 821.697 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITfEE .ALSO ENTER I.D.NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED, ENTER NAME ' PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM []OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑OTH ❑ PTY []SCC ❑IND ❑ COM ❑ OTH ❑ PTY ° ❑ SCC SUBTOTAL$ � i }(•' 4 i F: egd ' �t��k �' 7 §^ 7 °,"� 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 $ 2,626.05 2,626.05 *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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print In Ink. SCHEDULE (CONT.) Monetary GOntributionS Keceiveci Amounts may be rounded Statement covers period to whole dollars. from 01 -01 -13 • - 0 through 06 -30 -13 of 33 Page of NAME OF FILER I.D. NUMBER AFSCME. LOCAL 101 AFL -CIO PAC 821697 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE' * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF - EMPLOYED. ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) []IND ❑ COM ❑ OTH, ❑ PTY ❑SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC []IND ❑ COM ❑ OTH ❑ PTY []SCC [-]IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL 3 afi% �'g7 A�4a 3 u, c ; #, hem uP rid d: '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 E Payments Made SEE INSTRUCTIONS ON REVERSE. NAME OF FILER AFSCME LOCAL 101 AFL -CIO PAC Type or print In Ink. Statement covers period Amounts may be rounded to whole dollars. from 01 -01 -13 through 06 -30 -13 I Page �Tof 33 CODES: If one of the following codes accurately describes the payment, you may enter-the code. Otherwise, describe the payment. 821697 CMP campaign paraphernalia/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 (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT * Payments that are contributions or Independent expenditures must also be "summarized on Schedule D. SUBTOTAL$ Schedule E Summary AMOUNT PAID 1. Itemized payments made this period. (Include all Schedule E subtotals.) 0 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, e, Column A, Line 6. 0 ) ............................. TOTAL $ FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule E SCHEDULE E (CONT.) (Continuation Sheet) Type or print In Ink. Amounts may be rounded Statement covers period CALIFORNIA Payments Made to whole dollars. 01- 01 -1'3 • - • from SEE INSTRUCTIONS ON REVERSE through 06 -30 -13 Page of 33 NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO PAC 821697 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia /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) raru-11tO .11a. CHU wncr10uu0n5 or maepenaent expenatures must also be summarized on Schedule D. SUBTOTAL $ 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule F Type or print In Ink. Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVE SCHEDULEF Statement covers period from 01- 01 -13- through 06 -30 -13 I page �J g ?- 33 NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO PAC 821697 CODES: If one of the following CW CNS CTB CVC FIL FND IND. LEG LIT campaign paraphernalia/misc. campaign consultants contribution (explain nonmonetary)' civic donations candidate filing /ballot fees fundraising events independent expenditure supporting legal defense campaign literature and mailings codes accurately describes the payment, you may enter the code MBR member communications MTG ' meetings and appearances OFC office expenses PET petition circulating PHO phone banks POL polling and survey research /opposing others (explain)' POS postage, delivery and messenger services PRO professional services (legal, accounting) PRT print ads Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate /sponsor VOT voter registration WEB information technology costs (Internet, e-mail) NAME AND ADDRESS CREDITOR (IF COMMITTEE, ALSO ENTER ER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) d OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD • Payments that are contributions or Independent expenditures must also be $ SUBTOTALS $ $ $ summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ............. ............................... INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .. ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A, Line 9.) ..................................................................................... ............................... .......................... NET$ y g - 0 a be a ne at ve num er FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule. F CODE OR DESCRIPTION OF PAYMENT Type or print in ink. (b) AMOUNT INCURRED THIS PERIOD SCHEDULE F (CONY) Statement covers period • t (Continuation Sheet) Amounts may be rounded to whole dollars. Accrued Expenses (Unpaid Bills) from 01 -01 -13 • • ' through 06 -30 -13 Page �s '� of 33 NAME OF FILER LD.NUMBER AFSCME LOCAL 101 AFL -CIO PAC 821697 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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) " Payments that are contributions or Independent expenditures must-also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) d OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD SUBTOTALS$ $ $ $ 0 FPPC Form 460 (January/05) FPPC Toll -Free Helpllne: 866 /ASK -FPPC (8661275 -3772)