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2014/01/01 - 2014/05/17 - AFSCME - Form 460Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) fro Type or print in Ink. Statement covers period I Date of election if applicable: m 01 -01 -14 (Month, Day, Year) SEE INSTRUCTIONS ON REVERSE I through 05 -17 -14 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. ❑ Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee O Primarily Formed Q Recall Q Controlled (Also Comulete Part 5) O Sponsored ® General Purpose Committee (Also Complete Pail 6) ® Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Completa Pad 7) 3. Committee Information I.D. NUMBER 821697 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) AFSCME LOCAL 101 AFL -CIO STREET ADDRESS (NO P.O. BOX) 1150 NORTH FIRST STREET CITY STATE ZIP CODE AREA CODE /PHONE SAN JOSE CA 95112 408 - 206 -6764 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX 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 schedules is true and complete. I By Signature orCorntrolFng Ofteholder, Candidate. State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By SignatureofControhing fficeholder ,Canddate,StateMeasure Proponent FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 /ASK•FPPC State of California Campaign Disclosure Statement Summary Page Type or print In Ink. Amounts may be rounded to whole dollars. Statement covers period from 01 -01 -14 SUMMARY PAGE SEE INSTRUCTIONS ON REVERSE through 05 -17 -14 Page 2 of 6 NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO 821697 Contributions Received Column Column B Calendar Year Summary for Candidates TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and 3508. 09 3508.09 General Elections 1. Monetary Contributions ............ ............................... Schedule A. Line 3 $ $ 2. Loans Received ....................... ............................... Schedule e, Line 3 O 0 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... add Lines I * 2 $ 3508. $ 3508. 09 20. Contributions 0 0 Received $ $ 4, Nonmonetary Contributions ..... ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 3508.09 $ 3508.09 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 13100.00 $ 13100.00 Candidates 7, Loans Made .............................. ............................... Schedule H, Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 13100.00 $ 22. Cumulative Expenditures Made' (It Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills ) �•��•• •••••• • ••••�•• • Schedule F, Line 3 0 13100.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 0 0 (mm/dd /yy) 11. TOTAL EXPENDITURES MADE .... ............................Add Lines 6 + s + 10 $ 13100.00 $ 13100.00 $ Current Cash Statement $ 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 9782.48 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A. Line 3 above 3508.09 amounts in Column A to the J� $ 0 corresponding amounts 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 from Column B of your last $ 15. Cash Payments ............ ............................... Column A. Line s above 13100.00 report. Some amounts in Column A may be negative $ 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 190.57 figures that should be 9 subtracted from previous If this is a termination statement, Line 16 must be zero. period amounts. If this is $ the first report being filed 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Pan 2 $ 0 for this calendar year, only carry over the amounts 'Since January 1, 2001. Amounts in this section may be Cash Equivalents and Outstanding Debts m Lines 2, 7, and 9 (if aroy). different from amounts reported in Column B. 18. Cash Equivalents ......... ............................... see instructions on reverse $ 0 19. Outstanding Debts ......................... Add line 2 + Line s in Column B above $ 0 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule D crwg:" u c n ♦7u1111.11a1y W1 GAF,7C11ultu1CZi Type yr print m 1nK. Statement covers period Amounts whole dollars rounded Supporting /Opposing Other • . • Candidates, Measures and Committees from 01 -01 -14 . 05 -17 -14 3 6 SEE INSTRUCTIONS ON REVERSE through Page Of NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO 821697 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION AMOUNTTHIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE (IF REQUIRED) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) Save San Jose Libraries 2014 ® Monetary contribution 4 -1 -14 Contribution 5000.00 5000.00 5000.00 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure South Bay Central Labor Council COPE ® Monetary contribution 4 -1 -14 Contribution 5000.00 5000.00 5000.00 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure Cortese for Mayor 2014 ® Monetary contribution 5 -9 -14 Contribution 1100.00 1100.00 1100.00 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 11,100:00 Schedule D Summary Contributions and independent expenditures made this period of $100 or more. (include all Schedule D subtotals.) ............... ............................... $ 2. Unitemized contributions:and independent expenditures madethis period of under $100 ....:::................................................ .............:................. $ 13,100.00 3. Total.contributions and independent expenditures made this period. (Add'Lines 1 and 2. ,Do not enter orrthe Summary Page.) .............. TOTAL $ 13,100:00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule D (Continuation Sheet) Type or print In Ink. a .Ur-M CE nif'n.M, Amounts may be rounded Summary of Expenditures Statement covers period -- - - - -- - - " to whole dollars. Supporting /Opposing Other 01 -01 -14 Candidates, Measures and Committees from Fpage through 05 -17 -14 4 of 6 NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 AFL -CIO 821697 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE OR COMMITTEE PERIOD (JAN.1 -DEC. 31) (IF'REQUIRED) _ Paul Fong for San Jose City Coucil 2014 ®Contrib Monetary contribution 5 -9 -14 ution 500.00 500.00 500.00 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure Xavier Campos for City Council 2014 ® Monetary contribution 5 -9 -14 Contribution 500.00 500.00 500.00 ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure Buu Thai for City Council 2014 ® Monetary Contribution 5 -9 -14 Contribution 500.00 500.00 500.00 ❑ Nonmonetary Contribution Independent ® Support ❑ Oppose Expenditure Maya Esparza for City Council 2014 ® Monetary contribution 5 -9 -14 Contribution 500.00 500.00 500.00 ❑' Nonmonetary Contribution Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 2,000.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 8661ASK -FPPC Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER AFSCME LOCAL 101 AFL -CIO Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period from 01 -01 -14 through 05 -17 -14 Page 5 of 6 I.D. NUMBER 821697 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP 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) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Save San Jose Libraries contribution PO Box 5142, San Josk CA 95150 CTB 5000.00 FPPC #1345442 South Bay Central Labor Council COPE COPE Banquet 2102 Almaden Road, Suite 114 FND 5000.00 San Jose, California 95125/ FPPC# 744711 Cortese for Mayor 2014 contribution POBOX 51707 CTB 1100.00 San Jose, CA 95151 FPPC #136187 " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 11,100.00 Schedule E Summary 1. Payments made this.period of $100 or more. (Include all Schedule E subtotals.) $ 13,100.00 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).) ................................................ ............................... $ 4. Total payments made this period. Add Lines 1, 2, and 3. Enter here and on the Summa Page, Column A, Line 6. ................. TOTAL $ 13,100.00 P y P ( Summary 9 ) ............ FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Paul Fong for San Jose City Mayor 2014 SCHEDULE E (CONT) (Continuation Sheet) TYpe or p in Ink. Am y be rounded Statement covers period CALIFORN Payments Made San Jose, CA 95157 FPPC #1362111 to whole dollars. from 01 -01 -14 FORM 460' SEE INSTRUCTIONS ON REVERSE contribution through 05 -17 -14 Page 6 01 6 NAME OF FILER 500.00 San Jose, CA 95122 FPPC #1362352 I.D. NUMBER AFSCME LOCAL 101 AFL -CIO contribution POBox H 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. NIBR 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 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 AMOUNT PAID Paul Fong for San Jose City Mayor 2014 contribution POBox 10148 CTB 500.00 San Jose, CA 95157 FPPC #1362111 Xavier Campos for City Council 2014 contribution 1209 Adrian Way CTB 500.00 San Jose, CA 95122 FPPC #1362352 Buu Thai for City Council 2014 contribution POBox H CTB 500.00 San Jose, CA 95151 FPPC #1362648 Maya Esparza for City Council 2014 contribution POBox 22137 CTB 500.00 San Jose, CA 95151 FPPC #1322201 Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2000.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 86WASK•FPPC