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2014/09/30 - 2014/10/18 - 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 I Date of election if applicable from 09 -30 -14 (Month, Day, Year) through 10 -18 -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 O Recall O Controlled (Also Complete Part 5) O S d ® General Purpose Committee ® Sponsored 0 Small Contributor Committee Q Political Party /Central Committee 3. Committee Information COMMITTEE NAME (OR CANDIDATE'S NAME I AFSCME LOCAL 101 PAC F- (Also Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 71 I.D.NUMBER 821697 STREET ADDRESS (NO P.O. BOX) 1150 NORTH FIRST STREET, SUITE 101 CITY STATE ZIP CODE AREA CODE /PHONE SAN JOSE CA 95112 408 - 841 -9373 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 Signature of Controlling Oficefxdder. Candidate. State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder. Candidate. State Measure Proponent By Signature of Controi r.Canddate. State Measure 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 09 -30 -14 SUMMARY PAGE Expenditures Made To calculate Column B. add 640,00 through 10 -18 -14 Page 2 of 5 SEE INSTRUCTIONS ON REVERSE 86450.00 7. Loans Made .............................. ............................... Schedule H. Line 3 0 0 NAME OF FILER Add Lines 6 +7 $ 500.00 $ 86450.00 9. Accrued Expenses (Unpaid Bills ) ............................... I.D. NUMBER AFSCME LOCAL 101 PAC 0 10. Nonmonetary Adjustment ........... ............................... Schedule C. Line 3 0 821697 Contributions Received Add Lines 8 +s +10 $ Column A Column B Calendar Year Summary for Candidates TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTALTODATE Running In Both the State Prima and g Primary General Elections 1. Monetary Contributions ............ ............................... Schedule A. Lanes 00 $ 640. $ 77248.09 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 $ 640. $ 77248. 09 20. Contributions Received $ $ 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ 640.00 $ 77248.09 Made $ $ Expenditures Made To calculate Column B. add 640,00 amounts in Column A to the corresponding amounts from Column B of your last 6. Payments Made ........................ ............................... Schedule E, Line 4 $ 500.00 $ 86450.00 7. Loans Made .............................. ............................... Schedule H. Line 3 0 0 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 +7 $ 500.00 $ 86450.00 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 +s +10 $ 500.00 $ 86450.00 Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ 13. Cash Receipts .................... ............................... Column A. Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule 1, Line 4 15. Cash Payments ................... ............................... Column A, Line 8above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ If 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 s in column 6 above $ 440.57 Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (i1 Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) /J $ / $ 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC To calculate Column B. add 640,00 amounts in Column A to the corresponding amounts from Column B of your last 0 500.00 report. Some amounts in Column A may be negative 580.57 figures that should be subtracted from previous period amounts. If this is the first report being filed 0 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' (i1 Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) /J $ / $ 'Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received ""'"""" 110Y "° '""""°° Statement covers period to whole dollars. CALIFORNIA ' from 09 -30 -14 . • SEE INSTRUCTIONS ON REVERSE through 10 -18 -14 Page 3 of 5 NAME OF FILER I.D. NUMBER AFSCME LOCAL 101 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 ENTERID 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$ Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ......................................................................... ............................... $ 2. Amount received this period — unitemized 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 $ Q 640.00 640.00 'Contributor Codes IND— Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY —Political Party SCC — Small Contributor Committee FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule D ,r"r:nI II F n zournmary OT t p X enuitures type or print In Ink. Statement covers period Amounts may be rounded Supporting /Opposing Other dollars. CALIFORNIA • t to whole from 09 -30 -14 FORM Candidates, Measures and Committees 10 -18 -14 4 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER AFSCME 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 REQUIRQUIR ED) OR COMMITTEE Committee for Measure F Quality of Life ® Monetary CONTRIBUTION 10 -16 -14 7937 Hanna Street Contribution 500.00 500.00 Gilroy, CA E] Nonmonetary F pee 4 G 76 00 Contribution ❑ Independent ® Support ❑ Oppose Expenditure ® Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure ® Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ® Support ❑ Oppose Expenditure SUBTOTAL $ 500.00 Schedule D Summary 1. Contributions and independent expenditures made this period of $100 or more. (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 $ 500.00 C 500.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from 09 -30 -14 SEE INSTRUCTIONS ON REVERSE through 10 -18 -14 Page 5 of 5 NAME OF FILER LD NUMBER AFSCME LOCAL 101 PAC 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 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 FtD 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) E NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Committee for Measure F Quality of Life 7937 Hanna Street Gilroy, CA FPm *1376YQb 0 CTB CONTRIBUTION 500.00 500.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Payments made this period of $100 or more. (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.) .... SUBTOTAL $ $ 500.00 ............................... $ 0 ............................... $ 0 .................. TOTAL $ 500.00 FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC