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2015/07/01 - 2015/12/31 - AFSCME - Form 460 - AmendmentRecipient Committee s Campaign Statement Q • Cover Page Q (Government Code Sections 114200 - 642165) - ti_ ,.'� 1063320 Statement covers period Date of election if applicable ; 3 r 1 3 of (Month, Day, Year) Fors - from 07/01/2015 cmcu`�KS For Official use a,i � ti SEE INSTRUCTIONS ON REVERSE through 12/31/2015 1. Type of Recipient Committee: All committees- cempiete Parts 1, R, 3, and 4. 2. Type of Statement: b E t ❑ Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee CommiDee ® Semi - annual Statement ❑ Special Odd -Year Report Q Recall Q Controlled ❑ TeRninatmn Statement ❑ Supplemental Preelection (AAn CWwbfe PW a) O Sponsored (Also file a Form 410 Termination) Statement - Attach Form 495 General © al Purpose Committee lAAOcampwePeAe1 ® (Explain below) O Seed ❑ Primarily Formed Candidate/ Used the arro g date for s'anlng Q Small Contributor Commitfee Officeholder Committee O Political Party/Central Committee (aw Cwq*W Pal 7) 3. Committee Information ' I.D. NUMBER AFSCHB LOCAL 101 PAC STREET ADDRESS (NO P.O. BOX) 1150 NORM FIRS' STREET SUITS 101 CITY STATE ZIP CODE AREA CODE/PHONE SAN JOSE CA 95112 (408)691 -3355 WILING ADDRESS (IF DIFFERENT) NO AND STRE rT OR P.O. BOX CITY STATE ZIP Coar AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS Tremuregs) NAME OF TREASURER Robyn Zamora MAILING ADDRESS ME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX/ E-MAIL ADDRESS robynaejogmail.com robyoasjegmail.com 4. Verification have used all reasonable diligence in preparing and reviewingthis statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penally of perjury under the laws of the Slate of California that the foregoing is Executed on 01/27/2016 Execuled on Executed on www.neffik com By BY Sigy6red COraurrr9 .Can6xIaE. Storrs Neacue PropmeNOr RespyaiWeOdSponsor BY SOW ORratnBer, Can6tlste,SaeMeasure Proponent BY 5¢uhvedlbiEtlFg Ofirxi+oMer, CerxAtlaha,SFale rAeasee Prwo,..t FPPC Form 460 (JaM2016) FPPC Advice: advice@fppe.ca.gov (8661275-3772) www.fppc.ca.gov Campaign Disclosure Statement -------- SUMMARY-PAGE Amounts may be rounded Statement covers period CALIFORNIA Summary Page to whole dollars. o , from 07/01/2015 FORM SEE INSTRUCTIONS ON REVERSE NAME OF FILER AFSCME LOCAL 101 PAC Contributions Received 1. Monetary Contributions ............ ............................... SdreeuleA, Line 3 $ 2. Loans Received ...................... ............................... SdreareB, Lix 3 3. SUBTOTALCASH CONTRIBUTIONS ...................... Add Lined +2 $ 4. Nonmonetary Contributions ..... ............................... Sdwow C, Lme3 5. TOTAL CONTRIBUTIONS RECEIVED ............ .... ....... ....AddLirres3 +4 $ Expenditures Made 6. Payments Made ....................... ............................... SdmdLWoE LIM4 7. Loans Made .......................... ............................... Sdred(de H, LAM3 8. SUBTOTALCASH PAYMENTS .... ............................... Addrines6 +7 9. Accrued Expenses (Unpaid Bills) ............................... Sdmxbb F. Line 10. Nonmonetary Adjustment ........... ............................... Sd,eduec, Linea 11. TOTAL EXPENDITURES MADE ........ ........................AtlLdws a +9 +10 Current Cash Statement 12. Beginning Cash Balance ....................... Pmv*" SurnmaryPage, Line 16 13. Cash Receipts .................... ............................... CokonnA Line 3aboe 14. Miscellaneous Increases to Cash ........................... SdMdu@ 1, Line 4 15. Cash Payments ................... ............................... Coh=n A Line a above 16. ENDING CiASHBALAN(E .......... Add Linos 12 + 13+ 14, tlren Widrad Lore 15 9 this is a femdnation statement Lore 16 must be zero. Coliumn A Tovin4eF (FROMATIi LLEq 0.00 0.00 0.00 0.00 0.00 through 12/31/2015 I Pape 3 of 3 I.D. NUMBER Column a CAIEFm/JS tFAn roTAIrooAFE $ 13,000.00 o.00 $ 13,000.00 0.00 $ 13,000.00 821697 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections 111 through 8130 111 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ $ 0.00 $ 16,500.00 $ 354.52 0.00 $ 354.52 17. LOAN GUARANTEES RECEIVED .......................... Scnemne B, Pad 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see arnrincsom on revE $ 0.00 19. Outstanding Debts ......................... AddLbn2 +Lbre9nCokmrBab0ve $ 0.00 www.netfiie.com To calculate Column B, add amounts in Column A to the corresponding amounts from Column 8 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 Unes 2, 7, and 9 (d any). 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jard2016) FPPC Advice: advke@fppC.cagw (1116612754772) www.fppc.ca.gov Expenditure Limit Summary for State $ 0.00 $ 16,500.00 Candidates 0.00 0.00 22. Cumulative Expenditures Made` $ 0 $ 16,500.00 (US, to Who" Eq,.Fmt.. lb"M 0.00 0.00 Date of Election Total to Dale 0.00 0.00 (n'n Mdfyy) $ 0.00 $ 16,500.00 $ 354.52 0.00 $ 354.52 17. LOAN GUARANTEES RECEIVED .......................... Scnemne B, Pad 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see arnrincsom on revE $ 0.00 19. Outstanding Debts ......................... AddLbn2 +Lbre9nCokmrBab0ve $ 0.00 www.netfiie.com To calculate Column B, add amounts in Column A to the corresponding amounts from Column 8 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 Unes 2, 7, and 9 (d any). 'Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jard2016) FPPC Advice: advke@fppC.cagw (1116612754772) www.fppc.ca.gov RecipientCotnmMee Campaign`Statement Cover Page — Part 2 5. officeholder.or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 6. Primarily Formed'Ballot Measure Committee NAMEOF DALLOTMEASURE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER COVER Page 2 of 3 - ❑ SUPPORT ❑ OPPOSE RESIDENTIALIBUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP Identify the controlling oflicaholder, candidate, or state measure proponent, If any. Related Committees Not Included in this Statement: ustanycommurees not inducted in this statement that are conboted by you or are primarily fomed to receive contribmrons or make expenddarea on b" of Ynur c8m6dwY- NAME OF TREASURER (NO P.O. p YES ❑ NO CITY STATE ZIP CODE AREA CODEJPHONE COMMITTEE NAME I.D. NUMBER ❑ YES . []'NO (NO P.O. BOX) CITY _ STATE ZIP CODE AREA COD MNE www.netlile.com NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT E4.V2Caa UIJI Kx I nU. Ir Am 7. Primarily Formed CamlidatelOfficeholder Committee Listawymor ot0ceboider(s) or cancIdate(s) for which tats eommkeee is primadty 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 cwUnuadoo Silesia N necessary FPPC Form 466 (Jan12016) FPPC Advice: advlce@fppc.co.gov (86612763772) www.fppc.ca.gov