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Paul Kloecker - Form 460 - 2016/11/02 - 2016/12/31
Rec=ipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from \, --L-" V4 through `Z — Date of election if applicable: (Month, Day, Year) , auc 112017 CmCLCPk'S COVER PAGE 44 Page _1II,.— of Lt For Official Use Only 1. Type of Recipient Committee: All committees- complete Parts 1, 2, 3, and 4. 2. Type of Statement: ` Z L W" �_ 'Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ❑ Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee Semi - annual Statement ❑ Special Odd -Year Report 0 Recall 0 Controlled ❑ Termination Statement (Also Complete Pat 5) 0 Sponsored (Also file a Form 410 Termination) (Also Complete Pat 6) ❑ General Purpose Committee ❑ Amendment (Explain below) 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party /Central Committee (Also Complete Pal 7) 3. Committee Information I.D. NUMBER 1�.4 -t-2©(p cy V�kv L V V-Lo tr'c Kra ''6n ti.l?ar CL-t'f CouAt c iU STREETADDRESS (NO P.O. BOX) X431 �bzcW CITY STATE ZIP CODE AREA CODE /PHONE �- iL t� ti 6N gs-o2o Ada -,Paz- %-VtDL MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E -MAIL ADDRESS Treasurer(s) NAME (OOFTREASURER `� \L (1 l &I— � - K_ \ MAILING A�RE4-40 S 6n ( uf.3N Ger CITY STATE ZIP CODE AREA CODE/PHONE (Ict,,e01. CkJ Wo2o AwWA48- s<-7L NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E- MAILADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is L ye, and corn ct. - Executed on i By J/� • --- //( Dale Signature of Treasurer or Assistant Treasurer Executed on d ( -7 By Date Signature of Controlling 4pfficeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder, Candidate, Stale Measure Proponent Executed on By Date Signature of Controlling Othceholder, 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 Qpv L \l . V- ` b L C'e Lc-- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Ca y W c II VI - C 1i" 0 r %kL%ey RESIDENTIAI./BUSINESSADDRESS (NO AND STREET) CITY STATE ZIP 12� 42- c Cam, 6\6410'1 co, %SDz0 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. ID NUMBER NAME OF TREASURER ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO PO CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NOPO BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 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 officeholders) 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 i❑ 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 Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER T Ik� -'3 -L- \/ . V L 0 V G'; Contributions Received 1. Monetary Contributions .. Schedule A, Line 3 2 Loans Received .............................. .. Schedule a, L,ne 3 3. SUBTOTAL CASH CONTRIBUTIONS...... Add Lines 1 + 2 4. Nonmonetary Contributions ............. . Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3 +4 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 8 + 9 + 10 Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ �r $ o $ 4-S $ $ $ Z 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 8 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 17 LOAN' GUARANTEES RECEIVED ........... .......... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18 Cash Equivalents .......... . ..... ................. See instructions on reverse $/,�,r� 19. Outstanding Debts ........ ................. Add Line 2 + Line 9 in Column B above $ `+ ";VI SUMMARY PAGE Statement covers period from k �' 'L e,' J le through M —S I— t( Pagel_ of--Lf-- Column B CALENDAR YEAR TOTAL TO DATE $ Sro. l 0 60 $ pIS 9 5" $ $ 1 G 2 �i $ 10 -2 �y`v 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 previouslperlod amounts If this is the first report being filed for this calendar year, only carry over the amounts fromiLlnes 2, 7, and 9 (if any) ID NUMBER l---'4 mor, 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. Cumulative Expenditures Made" (M Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm /dd /yy) I $ $ Amounts in this section, maybe 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 to whole dollars. Statement covers period CALIFORNIA I 0 1 from It '- -I -� Ito • - 12 tb ` – through –'4.� Page of — SEE INSTRUCTIONS ON-REVERSE NAME OF FILER I D NUMBER '4F C Z d C,1� �-6 * I-L c� 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) ❑ IND ❑ OTH El OTH ❑ PTY - El 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 — Itemized monetary contributions. (Include all Schedule A subtotals.) ..................................................................... ..............................$ 2. Amount received this period — unitemized monetary contributions ofless than $100 ...........................$ C 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter,here and on the Summary Page, Column A, Line 1. TOTAL $ �?•p �� 'Contributor Codes IND – Individual COM – Recipient Committee (other than PTY or SCC) OTH – Other (e g , business entity) PTY – Political Party SCC – Small Contributor Commltte 'vn FPPC Form 460 (Jan /2016) LVL o't �� (3� r �, FPPC Advice: advice @fppc.ca.gov (866/275 -3772) �V�&V-VKt'A V o V S4% -loY b`f'fAle KA%f0 www.fppc.ca.gov A... t.... .. A SCHEDULE B - PART 1 Schedule — Part 1 to whole dollars. Statement covers period Loans Received �\`2~Lif ° I • & •' from through ii''° ti l— t�p Page of--kj-- SEE INSTRUCTIONS ON REVERSE __5 NAME,OF FILER I D NUMBER %1-16 Qj Ir FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT (N AMOUNT PAID OUTSTANDING BALANCE AT INTEREST ORIGINAL CUMULATIVE (IF COMMITTEE, ALSO ENTER I D NUMBER) (IF NAME OF BUSINESS) ER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN THIS PERIOD CLOSE OF THIS pglD THIS PERIOD AMOUNT OF LOAN CONTRIBUTIONS TO DATE PERIOD PERIOD y4 v L I �`Q is G �� ` . c `.� PAID �`e 9' �� c-i CALENDAR YEAR 84v.1 C �� RATE � b � FORGIVEN PER EL CW Cl V020 $ �� $ �( $ l`i a 8 ' ®4'I� a t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE _ DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE t ❑ IND ❑ COM [:1 OTH ❑ PTY ❑ SCC S $ a a $ DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR g S % b $ F] FORGIVEN FORGIVEN PER ELECTION* t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC I a a a a DATE DUE DATE INCURRED SUBTOTALS $ $ $ '7 As-b $ 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 also Itemized on Schedule A.) 3. Net change this period. (SubtractLine 2 from Line 1.) .............................. ............................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) `Amounts forgiven or paid by another party also must be reportedlon Schedule A. If required. to aei tai un Schedule E, Line 3) tContrlbutor 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 Amounts may be rounded to whole dollars. Statement covers period from \ N-- —I% IL Iq SCHEDULE E SEE INSTRUCTIONS ON REVERSE through �Z — ?4- , Page of NAME OF FILER I D NUMBER CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMP campaign,paraphernalla /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 1 D NUMBER) K�vNkf CODE OR DESCRIPTION OF PAYMENT " Payments that are contributions or Independent expenditures must also be summarized on Schedule D SUBTOTAL $ Schedule E Summary 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.) ........................... TOTAL $ AMOUNT PAID FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov