Paul Kloecker - Form 460 - 2016/10/23 - 2016/11/01Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from / C7 rtL� ._.- t �o
through I L — � t La
1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.
19'
Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party /Central Committee
3. Committee Information
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Pail 7)
I.D. NUN ER *
<Ci1-vL `, 1 LQ%&CtzV,,. q% w �nQa4 -% C1" Cot, uc%t"
STREET ADDRESS (NO P.O. BOX)
SLR C-r
CITY STATE ZIP CODE AREA CODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY STATE ZIP CODE AREA CODEIPHONE
OPTIONAL: FAX/ E- MAILADDRESS
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to
or
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
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
\Ca" V `V t— '
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Coc, V o, -% t, wV pr , C.T`t t7 F `rl' "Lt
RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
1 LT�P of
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 STREET ADDRESS (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
COVER PAGE - PART 2
Page -2 -_ of
6. Primarily Formed Ballot Measure Committee
NAME OF1 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 Listnames of
officeholder(s) or candidates) 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
FPPCForm 460 :(Jan /2016)
FPPC Advice: advice @fppc.cagov'(866 /275 -3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
Summary Page to whole dollars. Statement covers period J101 .
from
b o 1
SEE INSTRUCTIONS ON REVERSE through `rl —`� Page of
NAME OF FILER I.D. NUMBER
Contributions Received
Column A
TOTAL THIS PERIOD
Column B
Calendar Year Summary for Candidates
7. Loans Made ........................................ ...............................
Schedule H, Line 3
(FROM ATTACHED SCHEDULES)
CALENDAR YEAR
TOTAL TO DATE
Running in Both the State Primary and
Schedule F Line 3
10. Nonmonetary Adjustment...... .......... ...............................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ......... ........:......................
General Elections
1.
Monetary Contributions .................... ...............................
Schedule A, Line 3 $
$
1/1 through 6/30 7/1 to Date
2.
Loans Received ................................. ...............................
Schedule s, Line 3
�a G�
.
20. Contributions
3.
SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $
$ (p�Q
Received $ $
4.
Nonmonetary Contributions ............. ...............................
Schedule C, Line 3 rh
YJ
21. Expenditures
5.
TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add
Lines 3 +4 $
�
$ (al Q�
Made $ $
Expenditures Made
6. Payments Made ................................. ...............................
Schedule E, Line 4 $
7. Loans Made ........................................ ...............................
Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ........... ...............................
Add Lines, 6 +7 $ - -- -- - -- - -- - --
9. Accrued Expenses (Unpaid Bills) .......... ...............................
Schedule F Line 3
10. Nonmonetary Adjustment...... .......... ...............................
Schedule C, Line 3
11. TOTAL EXPENDITURES MADE ......... ........:......................
Add Lines s + 9 +10 $
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 /, Line 4
15. Cash Payments ..... :................................................... Column A, Linea above
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract:Line 15
If this is a termination statement, Line 16 must be zero.
/j
17. LOAN GUARANTEES RECEIVED ................................ Schedule -e, Part 2 $ - dS
Cash. Equivalents and Outstanding Debts
18. Cash Equivalents ................ ............................... See instructions on reverse $
19. Outstanding Debts .............................. Add Line 2 + Line 91n Column 8 above $
1i
$
$ Lo 2. `�
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of yourlast report. Some
amounts in ColumnA 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).
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm /dd /yy)
1 1 $
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 /275 -3772)
www.fppc.ca.gov
Schedule A
Amounts may be rounded
SCHEDULE A
to wno aouars.
Monetary Contributions Received
Statement covers period
• - ,; �
from °'L7J °'
o
FORM,
through , "' �- CO
Page Af of [a
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.p: NUMBER
L. o
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
(IF COMMITTEE, ALSO ENTER -I.D. NUMBER)
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
AMOUNT
RECEIVED THIS
CUMULATIVE TO DATE
CALENDAR YEAR
PER ELECTION
TO DATE
RECEIVED
CODE *
(IF SELF - EMPLOYED, ENTER NAME
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
OF BUSINESS)
❑ IND
❑ com
OTH
El OTH
Q
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
-
❑ IND
❑ COM
❑ OTH
❑ PTY
El 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, Line 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
FPPC' Form A601(Jan /2016)
FPPC Advice: adviceLWfppc.ca;gov (866 /275 -3772)
www.fppc.ca.gov
C
SCHEDULE B —PART 1.
5chedule B —Part 1 " "..""... -J, .. °." ".... °"
to whole dollars.
Statement covers period
I L ,t,
Loans Received
from (O ° -� ��-�
SEE INSTRUCTIONS ON REVERSE
through. --+
of _
NAME OF FILER
I:D. NUMBER
a v� LdeV.�r -+
FULL NAME, STREETADDRESSAND ZIP CODE
OF LENDER
IFAN INDIVIDUAL ENTER
OCCUPATION AND EMPLOYER
a
OUTSTANDING
BALANCE
AMOUNT
RECEIVED THIS
(N
AMOUNT PAID
OUTSTANDING
BALANCEAT
e
INTEREST
ORIGINAL
9
CUMULATIVE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
(IF SELF-EMPLOYED, ENTER
NAME OF BUSINESS)
BEGINNING THIS
PERIOD
OR FORGIVEN
THIS PERIOD'
CLOSE OF THIS
PAID THIS
PERIOD
AMOUNT OF
LOAN
CONTRIBUTIONS
TO DATE
PERIOD
PERIOD
\ t
PAID
CALENDAR YEAR
es
%
s-79
s 74-19-0
RATE
FORGIVEN
PER ELECTION"
DATE DUE
1 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
DATE INCURRED
❑ PAID
CALENDAR YEAR
❑ FORGIVEN
RATE
PER ELECTION"
t ❑ IND' ❑ COM ❑ OTH ❑PTY SCC
$
s
$
$
s
DATE DUE
DATE INCURRED
❑ PAID
CALENDARYEAR
❑ FORGIVEN
RATE
PER ELECTION"
1 ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC
$
$
$
$
DATE INCURRED
s
DATE DUE
SUBTOTALS $ $ $ '349-0 $
Schedule B Summary
1. Loans received this period ...................................................................................... ..............................$ V2
(Total Column (b) plus unitemized loans of less than $100.)
2. Loans paid or forgiven this period ....................................................... ...............................
(Total Column (c) plus loans under $100 paid or forgiven.)
(include loans paid by a third party that are also itemized on Schedule A.)
& Net change this period. (Subtract Line 2 from Line 1.) ..................... ...............................
Enter the net here and on the Summary 'Page, Column A, Line 2.
*Amounts forgiven or paid by another party also-mustibe reported on Schedule A.
** If required.
........$
3
NET $
(May be a negative number)
terner te) on
Schedule E, Line 3)
tContributor 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 (Jan /2016)
FPPC.Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON,REVERSE
k-) t- �- V_ LO
Amounts,may be rounded
to whole dollars:
Statement covers period
from 16—y,-Z, - I(.
through I-6'- I t(
CODES: If one of the following codes accurately describes the payment, you may enter,the code. Otherwise, describe the payment.
SCHEDULE E
Page _�__ of
t--1?:;,4 12a (.,
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
® 1,wE
* Payments that are contributions or independent expenditures must also be summarized on Schedule D.
Schedule E Summary
DESCRIPTION OF PAYMENT,
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.) .......
AMOUNT PAID
SUBTOTAL $
............................... $ J6
............................... $
............................... $
.................. TOTAL $
FPPC Form 460 (Jan /2016)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
www.fppc.ca.gov