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Paul Kloecker - Form 460 - 2017/07/01 - 2017/11/15Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from _ _ !` — k— ( through 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. % Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee O Recall (Also Complete Pat 5) ❑ General Purpose Committee 0 Sponsored 0 Small Contributor Committee 0 Political Party /Central Committee 3. Committee Information NAME (OR CANDIDATE'S NAME IF NO Committee O Controlled O Sponsored (Aho Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Pat 7) I.D. NUMBER pY� v c,. 11, jt,w ac V_t-Vt too¢ (1-tiLWX (:O-t (45V NO tL STREETADDRESS (NO P.O. BOX) d 4 t WrL-%,% & tr CITY STATE ZIP CODE AREA CODEfPHONE G CO, 45`7'J'2-v *V- MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/ E -MAIL ADDRESS Date Stamp Date of election if applicable: (Month, Day, Year) 2. Type of Statement: ❑ Preelection Statement ❑ Semi- annual Statement Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) COVER PAGE Page I of _-4a— For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER to N or r„t) 1.. V—% Frwi� MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE {s 451510 X48 - 3 r-g- NAME OFASSISTANT 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 ruerrept. //���� Executed on 17 By / f p % / Date l Signa`turee of Treasurer or Assistant Treasurer Executed oh I J 1% g 1 v` 1�'C• �- – , Date y Signature of Controlling Officeholder Candidates Rtates Mesam ire Pr ..... t .,r Q­­iraes nffi,esr of V­ ­ Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, Slate Measure Proponent FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov 444 Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER F'o, L V'r K.0 fs� is Contributions Received 1. Monetary Contributions.. ......... . .... ...... .. Schedule A, Line 3 2 Loans Received . ........ .. ..... ........ ...... Schedule B, Line 3 3 SUBTOTAL CASH CONTRIBUTIONS .... ........ . AddLmes 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 Lines8 +9 +10 current Gash 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 Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) $ -7- $ $ $ $ 1607, -7 4s� $ 17. LOAN GUARANTEES RECEIVED . .. ........... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ............ .............. .... See instructions on reverse $ Q�- 19. Outstanding Debts ... . .... ..... .. Add Line 2 + Line 9 in Column B above $ SUMMARY PAGE Statement covers period CALIFORNIA 0 from • through , \"' 1S y j� Page_ of(_ Column B CALENDAR YEAR TOTAL TO DATE $ $ $ $ $ $ To calculate Column B, add amounts In Column Ato 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 penod'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). ID NUMBER J3 A m o(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. Cumulative Expenditures Made* (if Subject to Voluntary Expenditure Limit) Date of,Election Total to, Date (mm /dd/yy) J 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 rounded t h SCHEDULE A o w ole dollars. Monetary Contributions Received Statement covers period P CALIFORNIA �; to 'FORM from 1 l7 through 1\ F'8•b 1 i� Page-4--,of �- SEE INSTRUCTION&ON REVERSE I NAME OF FILER I D.INUMBER "Q- DATE FULL NAME, STREETADDRESS AND 21P CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER I D NUMBER) CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF- EMPLOYED, ENTER NAME PERIOD (JAN 1 -DEC 31) (IF REQUIRED) OF BUSINESS) ❑,IND ®` `v OTH El OTH ❑'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 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 – Ilndlvldual, COM – Reap(ent,Commdtee (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 Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE '` Dolzi✓ V, VIL-10 We 461-1., OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) COCA q1 t' tL V" W* j C. t" ,o v 14Z 04 RESIDENTIAUBUSI NESS 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. ID NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO t AUUKtSS S I KEET ADDR CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEE NAME I D NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES [—I NO COMMITTEE ADDRESS STREET ADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COVER PAGE - PART 2 Page Z 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 Listnames 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 Amnnnfa matt ha rnunRnrl SCHEDULE B - PART 1 %31.11CUU1W G — ran I to whole dollars. Statement covers period ' 1 Loans Received 7 �1 l`] • •' from SEE INSTRUCTIONS ON REVERSE through v7 Page _ of �JL NAME OF FILER I.D. NUMBER 91zirQ L V V- LdtFC-V-MP- V34Cz5co FULL NAME, STREETADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE AMOUNT (c) OUTSTANDING gALANCEAT e INTEREST ORIGINAL g CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF- EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING RECEIVED THIS PERIOD OR FORGIVEN OR FOR IVEN CLOSE OF THIS PAID THIS PERIOD AMOUNT OF CONTRIBUTIONS TO DATE THIS PERIOD' PERIOD LOAN %Alt . 'ty 'V• �L C.O�+F�GI� &PAID V CALENDAR YEAR �1�tQ,1et a-'� a��% $mod a A�ato i` -D .FORGIVEN RATE PER ELECTION" a 1'SO a a 4Z a DATE DUE t D ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR $ a % a a El FORGIVEN FORGIVEN PER ELECTION'* t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC a a a a a DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION" RATE t ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC s a a S a DATE DUE DATE INCURRED SUBTOTALS $ $ '7�� p $ (�j $ 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. (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 must be reported on Schedule A. '* If required. Schedule E, Line 3) $ ........................ $ < 2 ............ NET a a negative nu r) 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 Amounts may be rounded to whole dollars. Statement covers period from f7--t,- �-1 SCHEDULE E SEE INSTRUCTIONS ON REVERSE through 1 Page —4— of NAME OF FILER 1 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 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 DESCRIPTION OF PAYMENT AMOUNT PAID \-� o v --k.? " 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 $ FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov