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Perry Woodward - Form 460 - 2016/10/23 - 2016/11/01Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 10/13 /14 through Date of election if appli (Month, Day, Year) Date Stamp NOV 4 2016 CITY CLERK'S arrlc GILROY, Crj COVER PAGE ` of For Official Use Only 1. Type of Recipient Committee: All Committees— complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure >rPreelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi - annual Statement ❑ Special Odd -Year Report O Recall O Controlled ❑ Termination Statement (Also Complete Pad 5) O Sponsored (Also file a Form 410 Termination) (Also complete Pan 6J ❑ General Purpose Committee ❑ Amendment (Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I I.D. NUMBER I-3 75 1 7 Z COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) C. LL `OM.M • T�e r *' EIeG-}- WC, aofu/ct/ c/ t�G l rp Treasurer(s) NAME OF TREASURER /i/%w'"K / d l. C. MAILINGADDRESS ." 75o LcP.t, ct . STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE 72.,t1 1�'• /rvy CA y',fdz0 �'a8 -sy2- 4033 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY C z o£s'851-9201 �c.r��/ G✓occrw4: � MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX MAILING ADDRESS 7,2 Y I L' {S /� RA C CITY STATE ZIP CODE AREA CODE /PHONE CITY STATE ZIP CODE AREA CODE /PHONE y oLO OPTIONAL: FAX /E -MAIL ADDRESS OPTIONAL: FAX /E -M LADDRESS / �j P < 1✓>( t(%GGdry y /d b O Ci /��i. �. co '&4' 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the certify under penalty of perjury under the laws of the State of California that the foregoi Executed on /'N //(I Date Executed on / i/� /I / a By Date Su. Executed on By Date knowledge the information contained herein and in the attached schedules is true and complete. I Executed on By Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the certify under penalty of perjury under the laws of the State of California that the foregoi Executed on /'N //(I Date Executed on / i/� /I / a By Date Su. Executed on By Date knowledge the information contained herein and in the attached schedules is true and complete. I Executed on By Dale Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER ?OR CANDIDATE // ?clr (1V✓bC>t JOA OFFICE SOUGHT (OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) ,via yo,/t c. �+ y of G �•oy RES IDENTIAL/EfUSI NESSADDRE S (NO.ANDSTREET) CITY STATE ZIP 7a`1 I f`j l c.._ 0,-. - %oy CA FS-02-0 dF 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 I.D. NUMBER NAME OF TREASURER I 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 Z K Page of 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 HELD ❑ SUPPORT ❑ OPPOSE Attach continuation sheets if necessary FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from /0/23//(. SUMMARY PAGE ✓ 1r SEE INSTRUCTIONS ON REVERSE through / G( / Page 3 of ^' NAME OF FILER I.D. NUMBER CAM�tt�� 4 Pee4 cJoed�� �rpyd✓ 2c>>G ,� (3`75/7Z Contributions Received Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) 11,25 0 1. Monetary Contributions .................... ............................... Schedule A, Line 3 $ 2. Loans Received ................................. ............................... schedule 8, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ /,250 -- 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 0 5. TOTAL CONTRIBUTIONS RECEIVED .................................... Add Lines 3 +4 $ 1,250 Expenditures Made 71 6. Payments Made ................................. ............................... schedule E, Line 4 $ 2099o7 7. Loans Made ........................................ ............................... Schedule H, Line 3 Of 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 +7 $ 20, $07 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 10. Nonmonetary Adjustment .......................... ............................... schedule C, Line 3 11. TOTAL EXPENDITURES MADE ........................................ Add Lines e +g +lp $ � O 7 — Current Cash Statement 37 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ (0;1-- 13. Cash Receipts ............................ ............................... Column A, line 3 above 11 2 So 14. Miscellaneous Increases to Cash ... ............................... schedule 1, Line 4 AW 15. Cash Payments .......................... ............................... Column A, Line 8 above 20111 $ o 7 �7 R 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 6. ©6 3 SS If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED . ............................... Schedule 8, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ Column B CALENDAR YEAR TOTAL TO DATE $ `�`� 5 2c 0 $ $ $ 4( Ll 2cl `5 $ `f /, `1 �5 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through 6130 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* (H Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) 1 —�1 $ 1 1 $ *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 Monetary Contributions Received io whole dollars. Statement covers period from 1012 i // Cr • /1/! /� ( 5 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.O. NUMBER / �OMM�ffGt . &_ lecf �mo�i,/4/� /f/%a a/ �Ol� 4 /i 75/7Z DATE FULL NAME, STREET ADDRESS 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) 0/27/1 // JgMc$ bA; �eY '7 7 6 % /L%.rl. /tY $ S v }t 2 bb RIND ❑ OTH S.f(- a °.�e Ae Co _ SDO 00 'SC O ✓, , i /,o y, CA qso zo ❑ PTY ❑ SCC J ❑ IND El C OM _ f�J.!loij leogd, $ -fe 150 RMTH 750 7�JO 750 El PTY El SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 5 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 $ /12.50 /r 250 — `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 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov a SCHEDULE E Amounts may be rounded Schedule E to whole dollars. Statement covers period CALIFORNIA , • ' Payments Made /0/2 ' - from 3 SEE INSTRUCTIONS ON REVERSE through 't �t O Page 5 of 5 NAME OF FILER I.D. NUMBER 46MA4, X41-. -�, F/cC4 A)oo. r.J.t -rc! /V(.Y, i 20 J 137-5/72- CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign paraphernalia /mist. 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 C4,oe,•o f LL e_ Pj+o 3 'tz EdtJ& -St- L / .14D,, $ °'^ Sa,. F,.,,, c, sco, Ch (?qt/ -Z " Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary SUBTOTAL$ 4 1. Itemized payments made this period. Include all Schedule E subtotals. Z D� 807 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).) .............................................. ............................... $ 79 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ Zo 1 807 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov