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Committee for Measure F - Form 460 - 2014/10/01 - 2014/10/18Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200- 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers period from October 1, 2014 through October 18, 2014 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) 0 Sponsored ❑ General Purpose Committee (AlsoCompiete Pad 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Compete Part 7) 3. Committee Information I.D. NUMBER 1370490 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Committee for Measure F, Quality of Life CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS Date of election if applicable: (Month, Day, Year) November 4, 2014 i 2. Type of Statement: Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Date Stamp aCl 201a��. ��g4s��GG Page COVER PAGE of For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER Sara Humphrey -Nino MAILING ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS snino @vannihumphrey.com 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true Executed on 10/22/2014 Date Executed on _„�l z Date Executed on Date By By By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan uary/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Type or print in ink. COVERPAGE -PART2 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 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 NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE CALIFORNIA FORM 460' Page 2 of 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Committee for Measure F, Quality of Life BALLOT NO. OR LETTER JURISDICTION m SUPPORT F Gilroy, CA ❑ 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 ❑ 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/06) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661276 -3772) State of California Campaign Disclosure Statement Type or print in ink. SUMMARY PAGE Summary Page Amounts may be rounded to Whole dollars. Statement covers eriod p CALIFORNIA 460 from October 1, 2014 FORM SEE INSTRUCTIONS ON REVERSE through October 18, 2014 Page 3 of NAME OF FILER I.D. NUMBER Committee for Measure F, Quality of Life 1370490 Contributions Received Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROMATTACHED SCHEDULES) CALENDARYEAR TOTALTO DATE Running In Both the State Primary and 9 r General Elections 1. Monetary Contributions ............ ............................... schedule A, Line 3 $ 19575.00 $ 35425.00 2. Loans Received ....................... ............................... schedule a, Line 3 0.00 0.00 1/1 through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 $ 19575.00 $ 35425.00 20. Contributions 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0.00 0.00 Received $ $ 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +q $ 19575.00 $ 35425.00 Made $ $ Expenditures Made Expenditure Limit Summary for State 6. Payments Made ........................ ............................... Schedule E, Line a $ 6923.49 $ 9502.53 Candidates 7. Loans Made .............................. ............................... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ 6923.49 $ 9502.53 22• Cumulative Expenditures Made* (If Sub)ectto Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 0.00 0.00 Date of Election Total to Date 10. Nonmonetary Adjustment ........... ............................... schedule C, Line 3 0.00 0.00 (mm /dd /yy) 11. TOTAL EXPENDITURES MADE . ............................... Add Lines a + 9 + 1 p $ 6923.49 $ 9502.53 $ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13270.96 To calculate Column B, add 13. Cash Receipts .................... ............................... Column A, Line 3 above 19575.00 amounts in Column A to the 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 0.00 corresponding amounts from Column B of your last *Amounts in this section may be different from amounts reported in Column B. 15. Cash Payments ................... ............................... Column A, Line a above 6923.49 report. Some amounts in Column A may be negative 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 25922.47 figures that should be 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 s, Part 2 $ 0.00 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 $ 0.00 any). 19. Outstanding Debts ......................... Add Line 2 +Line 9 in Column a above $ 0.00 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) Schedule A Type or print in ink SCHEDULE A Amounts may oe rounded Monetary Contributions Received Statement covers period to whole dollars. CALIFORNIA , • ' from October 1, 2014 FORM 1 October 18, 2014 4 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Committee for Measure F, Quality of Life 1370490 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF 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 OF SELF-EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Ruggeri- Jensen -Azar & Associates 10/02/2014 8055 Camino Arroyo W] OTH 2000.00 2000.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Gilroy Construction, Inc. ❑COM 10/02/2014 P.O. Box 397 I] OTH 2000.00 2000.00 Gilroy, CA 95021 ❑ PTY ❑ SCC ❑IND Nor Cal Land & Entitlement Consultants, Inc. ❑COM 10/02/2014 1590 The Alameda, Ste 110 ®OTH 1000.00 1000.00 San Jose, CA 95126 -2314 ❑ PTY ❑ SCC Arcadia Development Co. ❑IND coM 10/07/2014 P.O. Box 5368 II OTH 2500.00 2500.00 San Jose, CA 95150 -5368 ❑ PTY ❑ SCC Brent Wei -Teh Lee ®IND [:]COM Banker, Cathay Bank 10/14/2014 24168 Congress Spring Rd 2500.00 2500.00 Saratoga, CA 95070 ❑ PTY ❑ SCC SUBTOTAL$ 10000.00 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 $ 19550.00 25.00 19575.00 '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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. October 1, 2014 ' from F through October 18, 2014 page _ NAME OF FILER I.D. NUMBER Committee for Measure F, Quality of Life 1370490 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR EET ADDRESS ZIP DE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF I.D. NUMBER) CODE * (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN.1 -DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Wanmei Properties, Inc. ❑COD 10/14/2014 2904 San Juan Blvd. ®OTH 5000.00 5000.00 Belmont, CA 94002 -1346 ❑ PTY ❑ SCC Fred Lico ®IND ❑COM Retired 10/14/2014 1416 Glen Ellen Way ❑ OTH 100.00 100.00 San Jose, CA 95125 ❑ PTY ❑ SCC Frank Lico �❑IN D Retired 10/14/2014 1438 Robsheal Dr. E] OTH 100.00 100.00 San Jose, CA 95125 ❑ PTY ❑ SCC Sharon Albert OIND ❑COM Retired Teacher 10/14/2014 P.O. Box 934 ❑ OTH 100.00 100.00 Gilroy, CA 95021 ❑ PTY ❑ SCC Flowers & Associates, Inc. ❑IND EICO 10/14/2014 201 N. Calle Cesar Chavez, Suite 100 1000.00 1000.00 Santa Barbara, CA 93103 ❑ PTY ❑ SCC SUBTOTAL$ 6300.00 *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 (866/275 -3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) monetary ContrinutionS Keceivea Amounts may be rounded Statement covers period towhole dollars. October 1, 2014 CALIFORNIA FORM • 1 from October 18, 2014 6 through Page of NAME OF FILER I.D. NUMBER Committee for Measure F, Quality of Life 1370490 DATE EET A DE O FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RALSAND ZIP CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IFSELF -EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑IND Rec Inc. ❑COM 10/14/2014 1351 1 Pacheco Pass Hwy ®OTH 500.00 500.00 Gilroy, CA 95020 -9579 ❑ PTY ❑ SCC Thomas Haglund ®IND ❑COM City Administrator, City of 10/15/2014 P.O. Box 2676 Gilroy y 250.00 250.00 Gilroy, CA 95021 ElPTY ❑ SCC Gill Motors, Inc. Gilroy Chevrolet Cadillac ❑IND 10/15/2014 6720 Bearcat Ct ®OTH 2500.00 2500.00 Gilroy, CA 95020 -6667 ❑ PTY ❑ SCc ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 3250.00 "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 E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Committee for Measure F, Quality of Life Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from October 1, 2014 through October 18, 2014 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 7 of 3 I.D. NUMBER 1370490 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 AMOUNT PAID US Postmaster Postage for postcard mailers 1200 Franklin Mall POS 1295.84 Santa Clara, CA 95050 Articulate Solutions Design services for signs 65 Fifth Street, Ste 100 PRT 535.00 Gilroy, CA 95020 BelAire Displays Printing of lawn signs 506 West Ohio Ave. PRT 2561.50 Richmond, CA 94804 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 4392.34 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 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 Summary Page, Column A, Line 6.) ............................. TOTAL $ 6923.49 0.00 0.00 6923.49 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) Schedule E (Continuation Sheet) Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from October 1, 2014 SCHEDULE E (CONT.) 9 SEE INSTRUCTIONS ON REVERSE through October 18, 2014 Page 8 of NAME OF FILER I.D. NUMBER Committee for Measure F, Quality of Life 1370490 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 IVITG 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 AMOUNT PAID The Printing Spot Printing of mailers 501 First Street PRT 163.13 Gilroy, CA 95020 Par Global Resources Printing of postcards 2005 De La Cruz Blvd, Suite 111 PRT 1987.00 Santa Clara, CA 95050 Political Data Inc. Automated phone calls P.O. Box 59570 PHO 147.15 Norwalk, CA 90652 Political Calling. Com ADD Disclaimer phone calls 204 F St., Suite Al PHO 233.87 Davis, CA 95616 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2531.15 FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)