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Paul Kloecker - Form 460 - 2016/09/25 - 2016/10/22Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period � from - - TS — N [,p through r o 22 -- Itr 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Also Complete Part 5) 0 Sponsored ❑ General Purpose Committee (Also Complete Part 6) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUM '$ 4 '� COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEEI "�Ow' LLLOVc'%t`tfL J;t# 6kL*4 C""� Gt'-%uNa.tt_ STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE /PHONE CAG oz c5 4o$- -$ -k2.-iaG z MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS Date of election if applii (Month, Day, Year) IV`8'- Cfo '%, V, At Oct.? X16 :1l I rr , 2. Type of Statement: ° Preelection Statement ❑ Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS COVER PAGE C Page Le of Al For Official Use ❑ Quarterly Statement ❑ Special Odd -Year Report CITY STATE ZIP CODE AREA CODEIPHONE OPTIONAL: FAX/ E -MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) 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) C w Qi IE Cit'C°t 6tL RESIDENTIAUBUSINESS 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. im NAME ❑ YES ❑ NO COMMITTEE ADDRESS STREET CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? . [ ❑.YES ❑ NO COVER PAGE - PART 2 Page 7— of _Cla 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ SUPPORT ❑ 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,HEL'D ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODElPHONE Attach continuation sheets ifnecessary FPPCiForms460 (Jan /2016) FPPC Advice: advice @fppc.,ca.gov,(866 /27S -3772) www.fppc.ca.gov lop"s- Campaign Disclosure Statement Summary Page ON:REVERSE NAME OF 'FILER Q Acs v • �Ll..c� �e IG Amounts may be rounded to whole dollars. SUMMARY PAGE Statement covers period from Ct �-1% through. IW22, Page`_ of Expenditures Made P A� >� �7 Q 6. Payments Made ................................. ............................... Schedule E, Line 4 $ Z $ 5W ) 7. Loans Made ........................................ ............................... Schedule H Line 3 (25 t6 8. SUBTOTAL CASH, PAYMENTS ........... ............................... Add Lines 6 + 7 $ 10/ $ 9. Accrued Expenses (Unpaid,Bills) ........... ............................... Schedule F, Line 3 `r" 16 10. Nonmonetary. Adjustment .......................... ............................... Schedule C, Line 3 46 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 6 + 9 + 10 $�-. to g� $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts ............................ ............................... Column A, Line 3 above Co- (a �0 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 15. Cash Payments .......................... ............................... Column A, Line 8 above L,� `2- 16. ENDING CASH BALANCE ...............:::Add -Lines 12 + 13 + 14, then subtract Line 15 $ If this is ai termination, statement, Line 16must-be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule e; Part 2 $ Cash Equivalents and Outstanding Debts Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ To calculate Column B, add amounts in Column A 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). \-,?VA-mc o Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates. 22. Cumulativel Expenditures Made" Ilf Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc:ca.gov (866/215 -3772) www.fppc.ca.gov Column A Column B Contributions Received TOTAL THIS PERIOD CALENDAR YEAR - - (FROM ATTACHED SCHEDULES) TOTAL TO DATE s 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ $ % % 2. Loans Received ................................. ............................... Schedule a; Line 3 / 1(% on 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ r•� d $ 4. Nonmonetary Contributions ............. .....:......................... Schedule C, Line 3 c 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 + 4 $ $ Expenditures Made P A� >� �7 Q 6. Payments Made ................................. ............................... Schedule E, Line 4 $ Z $ 5W ) 7. Loans Made ........................................ ............................... Schedule H Line 3 (25 t6 8. SUBTOTAL CASH, PAYMENTS ........... ............................... Add Lines 6 + 7 $ 10/ $ 9. Accrued Expenses (Unpaid,Bills) ........... ............................... Schedule F, Line 3 `r" 16 10. Nonmonetary. Adjustment .......................... ............................... Schedule C, Line 3 46 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 6 + 9 + 10 $�-. to g� $ Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts ............................ ............................... Column A, Line 3 above Co- (a �0 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 15. Cash Payments .......................... ............................... Column A, Line 8 above L,� `2- 16. ENDING CASH BALANCE ...............:::Add -Lines 12 + 13 + 14, then subtract Line 15 $ If this is ai termination, statement, Line 16must-be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule e; Part 2 $ Cash Equivalents and Outstanding Debts Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ To calculate Column B, add amounts in Column A 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). \-,?VA-mc o Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6/30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates. 22. Cumulativel Expenditures Made" Ilf Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ I $ Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc:ca.gov (866/215 -3772) www.fppc.ca.gov " Schetlule A C M9 Amounts.may be rounded SCHEDULE A Monetary Contributions Received to'wnole'awa`s. Statement covers period • FAN from ^ �� +� • through Y�a,Z�i(_ Page — of SEE INSTRUCTIONS ONiREVERSE NAME OF FILER -VU!e5a<` I.D. NUMBER C %14 12 -fie. DATE FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE; ALSO ENTER I.D. NUMBER) CONTRIBUTOR WAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED CODE * (IF- -SELF- EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) I ` �pYZV --1 S14 ND El COM 6TH IV 1!90 O IF ..r V1 450 El ❑ SCC ND � PLO [].OTH ❑ PTY fl.---NR t ❑ SCC u fi— / PFIND 2$ °`its � � 1 • � C!l'J �? (�,t_�1`:. El com ❑ OTH ❑ PTY Q- tom. ❑ SCC ❑ IND ❑ COM' ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY SCC - -- - SUBTOTAL$ 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 $100 ..... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, iLine 1.) ............. ................$ TOTAL $ �% "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 FP.PCForm 460i(Jan /2016) FPPC Advice: advice @fppc.ca.gov (866 /275 - 3772) www.fppc.ca.gov SCHEDULE B - PART 1 Schedule —Part to whole dollars. Statement covers period CALIFORNIA �` Loans Received from Q '' �/c�.� 4 �- • ' SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER % p e FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN! INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER OUTSTANDING BALANCE AMOUNT (N AMOUNT PAID OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE (IFCOMMITTEE, ALSO ENTER I, D: NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD * CLOSE OF THIS PAID THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE _ PERIOD PERIOD � t +� ��/1<). �- �C�� n`� PAID CALENDAR s C61`6\ f- RATE cl(SDW 5KFORGIVEN PER ELECTION"* DATE DUE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ — $ ❑ FORGIVEN RATE PER ELECTION"; t ❑ IND ❑ COM ❑ OTH PTY SCC $ $ $ $ $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ El FORGIVEN FORGIVEN PER ELECTION" ❑ IND ❑ COM ❑ OTH PTY ❑SCC I[] $ $ $ $ DATE INCURRED $ DATE DUE _�.. _._ .rs SUBTOTALS- $ $ $ _ r� 4. 1'• Schedule B Summary 1. Loans received this period $ ...................... ............................... ........ ............................... ................. (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period .......................... $ ......... .. . . . ................................... ............................... (Total. Column (c) plus loans under $100 paid or forgiven.,) (include loans paid by a third party that are alsolitemized on Schedule A.) / 3. Net change this period. (Subtract Line 2 from Line 1.) .............................................................. NET $ Enter the net here and on the Summary Page;, Column A, Line 2, (May be a negative number) tnmer to) on Schedule E, Line 3) tContributorCodes IND – Individual COM – Recipient Committee (otherthan PTY or SCC) OTH – Other (e.g., business entity) PTY – Politica I i Party SCC – SrnalhContributor Committe Amounts forgiven or paid by another party also mustbe reported on Schedule A. FPPC Form 460 (Jan /2016) ** If required. FPPCAdvice: advice@fppc.ca.gov (866 /275 -3772) www.fppc.ca.gov !�_. Schedule E Payments Made SEE INSTRUCTIONS' ON REVERSE nL V' 1�Lo ";R %W- Amounts may be rounded to whole dollars. Statement covers period from through 2d 4 ( I Page 1GL— of I.D. NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. 1W 66 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 VVEB 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 4 � VE>� � N Y � ,�-i1 � lam% V Q� � � •f `� c�� � ` v� a- I t a n'Y r1%. * Payments that are contributions or independent expenditures must also:be summarized on Schedule D. SUBTOTAL $ 5v Schedule E Summary 1. Itemized payments made -this period. (Include all Schedule 'E subtotals.) .................................................... ............................... 2. Unitemized- payments made this period of under $ 100 ......... ......... ....................................................... ..::........................... 3. Totat 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 $ 5~ QZS, 'E FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.gov (866/275 -3772) www.fppc.ca.gov