2013/07/01 - 2013/12/31 - 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 7-1 -13
through 12 -31 -13
1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4.
❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measur e
Q State Candidate Election Committee
Q Recall
(Also C —Plate Part 5)
® General Purpose Committee
® Sponsored
Q Small Contributor Committee
Q Political Party /Central Committee
3. Committee Information
NAME (OR CANDIDATE'S NAME IF
AFSCME LOCAL 101 AFL -CIO
Committee
Q Controlled
Q Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
I.D. NUMBER
821697
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
Dale Stamp
Date of election if applicable: �VId 1�1%
(Month, Day, Year) ! VVRWS
n/a I
2. Type of Statement:
❑ Preelection Statement
® Semi - annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
Page 1 of 3
For Official Use Only
❑ Quarterly Statement
❑ Special Odd -Year Report
❑ Supplemental Preelection
Statement - Attach Form 495
Treasurer(s)
NAME OF TREASURER
ELIZABETH BETTENCOURT
MAILING ADDRESS
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX / E -MAIL ADDRESS OPTIONAL. FAX I 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 Ofricetroider, Candidate, State Measure Proponent or Responsible OM., of Sponsor
Executed on
By
Dale
Signature of Conlroltirg Of shWer, Candidae. State Measure Proponent
Executed on
By
Dale
Signature of Controlling Olfl001101(im. Car- -, State Measure Proponent
FPPC Form 450 (January/05)
FPPC Toll -Free Helpline: BBB/ASK -FPPC (8881275 -3772)
State of California
Campaign Disclosure Statement
schedule E, Line 4
Type or print In Ink.
0
SUMMARY PAGE
Summary'Page
7. Loans Made .............................. ...............................
Amounts may be rounded
to whole dollars.
Statement covers period
CALIFORNIA I ,S '
0
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 + 7
$
from
7-1 -13
FORM
9. Accrued Expenses (Unpaid Bills) ...............................
schedule F Line 3
0
through
12 -31 -13
Page 2 of 3
SEE INSTRUCTIONS ON REVERSE
0
0
11. TOTAL EXPENDITURES MADE . ...............................
Add Lines 8 + 9 + 10
$
NAME OF FILER
$
0
I.D. NUMBER
AFSCME LOCAL 101 AFL -CIO
821697
Contributions Received
ColumnA
Column
Calendar Year Summary for Candidates
(FROM ATTACHE T�HEDx.ES)
OTALTODYATE
Running In Both the .State Primary and
Genera[Elections
1. Monetary Contributions ............ ...............................
sctleduleA. Line 3
3897.15
$ $
6523.20.
0
111 through 6/30 711 to Date
2. Loans Received .....:................. .............:.........:.......
schedule B. Line 3
3. SUBTOTAL CASH CONTRIBUTIONS .........................
Add Lines f + 2
$ 3897.15 $
6523.20
20. Contributions
Received $ $
4. Nonmonetary Contributions ..... ...............................
schedule C, Line 3
0
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED •...••••••.• •••.••.•.••.•.
Add Lines 3 +4
$ 3897.15 $
6523.20
Made $ $
Expenditures Made
6. Payments Made ........................ ...............................
schedule E, Line 4
$
0
$
0
7. Loans Made .............................. ...............................
schedule H, Line 3
0
0
8. SUBTOTAL CASH PAYMENTS ..... ...............................
Add Lines 6 + 7
$
0
$
0
9. Accrued Expenses (Unpaid Bills) ...............................
schedule F Line 3
0
0
10. Nonmonetary Adjustment ........... ...............................
schedule C; Line 3
0
0
11. TOTAL EXPENDITURES MADE . ...............................
Add Lines 8 + 9 + 10
$
0
$
0
current Gash Statement
12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $
13. Cash Receipts .................... ............................... Column A. Line 3above
14. Miscellaneous Increases to Cash ........................... schedule r, Line 4
15. Cash Payments ................... ............................... Column A, Line a above
16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $
fJ 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 instructions on reverse $
19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $
5885.33
3897.15
0
0
9782.48
0
0
0
To calculate Column B, add
amounts in Column 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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(if Subject to voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd /yy)
—JJ $
'Amounts in this section maybe different from amounts
reported in Column B.
FPPC Form 460 (January/05)
FPPC Toll -Free Helplins: 888/ASK -FPPC (866/275 -3772)
Schedule A Type or print In ink. SCHEDLII F.A
monetary L►0[1LrIDUttilO11S KeC @IVed " "- '° "' °' "° '°" 1
to whole dollars.
Statement covers period
7 -1 -13
CALIFORNIA • ,'
from
O.
SEE INSTRUCTIONS ON REVERSE
through 12 -31 -13
Page. 3 of 3
NAME OF FILER
AFSCME LOCAL 101 AFL -CIO
NU
I.D. MBER
I.D. NU7
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 *
OCCUPATIONAND`EMPLOYER
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF SELF - EMPLOYED, ENTER NAME
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
❑IND
❑COM
❑ OTH
❑ PTY
❑SCC
❑ IND
i]COM
❑ OTH
❑ PTY
❑SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
SCC
IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $
acneaule A summary
1. Amount received this period — itemized monetary contributions.
(Include alLSchedule 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 $
3897.15
3897.15
'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 480 (JanuarylOS)
FPPC Toil -Free Helpline :.888/ASK•FPPC:(8881275.3772)