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Blankley, Marie - Form 460 (2018) - 20170701 - 20171231Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 07/01/2017 through 12/31/2017 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) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee 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. NUMBER 1400066 4. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Marie Blankley for City Council 2018 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE 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 applica (Month, Day, Year) 11/06/2018 h ON- D Stamp . LLB,1'r,,® SAN 2 A 20% 2. Type of Statement: ❑ Preelection Statement Q� Semi - annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) ` COVER PAGE 1 of 13 For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report NAME OF TREASURER Paul Vanni MAILING ADDRESS CITY STATE ZIP CODE AREACODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY Marie Blankley MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX/ E -MAIL ADDRESS 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 erjury u der the laws of the State of California that th Sponsor Executed on Date Executed on Date By By ;t, 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 Marie Blankley OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT. NUMBER IF APPLICABLE) City Council Member, City of Gilroy RESIDENTIAUBUSI NESS ADDRESS (NO. AND STREET) CITY STATE ZIP Gilroy, CA 95020 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 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHON,E COVER PAGE - PART 2 CALIFORNIA .- 460 Page 2 of 13 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 Campaign Disclosure Statement Summary Page Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 SUMMARY PAGE Expenditures Made 6. Payments Made ................................. ............................... Schedule E, Line 4 through 12/31/2017 Page 3 of 13 SEE INSTRUCTIONS ON REVERSE 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 68.00 $ 68.00 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 NAME OF FILER 10. Non monetary Adjustment .......................... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 + 9 + 10 I.D. NUMBER Marie Blankley for City Council 2018 Current Cash Statement 1400066 Contributions Received 0.00 Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates 14150.00 add amounts in Column (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and A to the corresponding 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 General Elections 15. Cash Payments .......................... ............................... Column A, Line 8 above 14150.00 14150.00 1. Monetary Contributions .................... ............................... schedule a, Line 3 $ $ 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ . 1408200 be negative figures that 1/1 through 6/30 7/1 to Date 2. Loans Received ................................. ............................... Schedule e, Line 3 previous period amounts. If this is the first report being 14150.00 14150.00 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 $ $ Received $ $ 4. Nonmonetary Contributions ............. ............................... Schedule C, Line 3 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED ........ ............................Add Lines 3 +4 $ 14150.00 $ 14150.00 Made $ $ Expenditures Made 6. Payments Made ................................. ............................... Schedule E, Line 4 $ 68.00 $ 68.00 7. Loans Made ........................................ ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ........... ............................... Add Lines 6 + 7 $ 68.00 $ 68.00 9. Accrued Expenses (Unpaid Bills) ........... ............................... Schedule F Line 3 10. Non monetary Adjustment .......................... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ......... ............................... Add Lines 8 + 9 + 10 $ 68.00 $ 68.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 0.00 To calculate Column B, 13. Cash Receipts Column A, Line 3 above 14150.00 add amounts in Column A to the corresponding 14. Miscellaneous Increases to Cash ... ............................... Schedule 1, Line 4 amounts from Column B 15. Cash Payments .......................... ............................... Column A, Line 8 above 68.00 of your last report. Some amounts in Column A may 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ . 1408200 be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED . ............................... Schedule B, Part 2 $ filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if Cash Equivalents and Outstanding Debts anyi. 18. Cash Equivalents ................. ............................... See instructions on reverse $ 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column 8 above $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* IN Subject to Voluntary Expenditure Limit) Date of.Election Total to Date (mm /dd /yy) *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 to whole dollars. Statement covers period • . 01/01/2017 from , ' • through 12/31/2017 page 4 of 13 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 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) JZ] IND 11/17/2017 Donald Gage ❑ COM ❑ OTH retired 250.00 250.00 250.00 Gilroy, CA 95020 ❑ PTY ❑ SCC JZ] IND 11/20/2017 Walter Blankley El COM E] OTH retired 750.00 750.00 750.00 Naples, FL 34119 ❑ PTY ❑ SCC IND 11/20/2017 Rosemary Blankley ❑ COM retired 750.00 750.00 750.00 El OTH Naples, FL 34119 ❑ PTY ❑ SCC Paul Vanni Accountancy Corporation ❑ IND El 11/20/2017 OTH 500.00 500.00 500.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Dr. Steven Kinsella W] IND El COM retired 11/27/2017 ❑ OTH 250.00 250.00 250.00 Morgan Hill, CA 95037 ❑ PTY ❑ SCC SUBTOTAL $ 2500.00__; 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 $ 14150.00 14150.00 *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 Schedule A (Continuation Sheet) Amounts.may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 f rom 01/01/2017 FORM through 12/31/2017 Page 5 of /-3 NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE _ FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ®IND Patricia Filice ❑ COM Broker Associate 11/27/2017 ❑ OTH Intero Real Estate 500.00 500.00 500.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 11 /28/2017 Edward Seledon ®IND El IND retired 200.00 200.00 200.00 ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ SCC Gurries Associates ❑ IND ❑ COM 11/29/2017 ® OTH 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC LZ IND 11/29/2017 Dale Foster El CoM ❑ OTH retired 50.00 50.00 50.00 Morgan Hill, CA 95037 ❑ PTY ❑ SCC Jeff Martin ® IND El COM owner, Frantoio Grove 12/7/2017 ❑ OTH 500.00 500.00 500.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 2000.00 *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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period • _ , from 01/01/2017 • ' through 12/31/2017 Page 6 of NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ❑ IND Ruggeri Jenzen Azar CO 750.00 12/8/2017 ® 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Al Pinheiro Insurance Agency ❑IND 12/8/2017 190 First St. 190 First ® OTH 250.00 250.00 250.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Caravelle World Travel ❑ IND 12/8/2017 190 First 190 First St. ® OTH 250.00 250.00 250.00 Gilroy, CA 95020 ❑ PTY ❑ SCC LZ IND 12/8/2017 Diana Berry El CoM ❑ OTH retired 500.00 500.00 500.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Lonna Martinez ®IND El COM retired 12/8/2017 ❑ OTH 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 2500.00 *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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period • _ A A L 1 I 1ki from 01 /01 /2017 • _ _ through 12/31/2017 page 7 of NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER NUMBER) CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF I.D. CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Al Howard El COM retired 12/8/2017 ❑ OTH 750'.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 12/8/2017 Ronald G. Pray ® IND ❑ COM [-I OTH owner, Ronald G Pray Company Y P Y 250.00 250.00 250.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Gregory Giusiana ® IND El COM Director, 12/8/2017 E] OTH South Bay Regional Y g 200.00 200.00 200.00 Gilroy, CA 95020 ❑ PTY ❑ SCC � IND 12/8/2017 Denise Sellers El CoM ❑ OTH retired 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC William Faus ® IND El COM retired 12/8/2017 ❑ OTH 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC *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 SUBTOTAL $ 1400.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period , from 01/01/2017 ' through 12/31/2017 Page 8 of �7 NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO ENTER CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF I.D. NUMBER) CODE . (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) IND Mike Ternasky ❑ owner, 12/9/2017 OTH ❑ OTH Orca Software Inc. 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 12/9/2017 James Hoey ® IND ❑ COM owner, The Barn 250.00 250.00 250.00 El at Y at Hoe Ranch Gilroy, CA 95020 ❑ PTY ❑ SCC Don Christopher ® IND ❑ COM Farmer, 12/11/2017 [:1 OTH Christopher Ranch p 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Ca IND 12/11/2017 Karen Christopher El coM El OTH Administrator, rso Christopher Ranch p 250.00 250.00 250.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Greg Martinez ® IND ❑ COM Veterinarian 12/12/2017 ❑ OTH Gilroy Veterinary Hospital Y rY p 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC *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 SUBTOTAL $ 2100.00 I�� .:..: "T FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period • _ from 01/01/2017 • ' through 12/31/2017 Page 9 of NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, ALSO CONTRIBUTOR * [FAN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Dennis Harrigan El COM Veterinarian 12/12/2017 ❑ OTH Gilroy Veterinary Hospital 750.00 750.00 750.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 12/12/2017 John Kent ® IND ❑ COM Real Estate Professional, 100.00 100.00 100.00 El OTH Pacific Oak Properties ro p Morgan Hill, CA 95020 ❑ PTY ❑ SCC Robert Oneto ® IND El COM Planner, 12/13/2017 El OTH Ruggeri Jenzen Azar gg 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 2 IND Karen Oneto El coM self - employed educator 100.00 12/13/2017 ❑ OTH 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCc Mark Good ®IND El COM attorney, Terra Law LLP 12/15/2017 ❑ OTH 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC SUBTOTAL $ 1150.00..4 *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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULEA (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 from 01/01/2017 FORM through 12/31/2017 page 10 of 13 NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE FULL -NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF. SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Larry Connell El COM retired 12/19/2017 [] OTH 100.00 100.00 100.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 12/19/2017 Ric Heinzen ® IND El COM retired 100.00 100.00 100.00 ❑ OTH Reno, NV 89509 ❑ PTY ❑ SCC Joann Kessler ® IND El COM retired 12/19/2017 ❑ OTH 100.00 100.00 100.00. San Martin, CA 95046 ❑ PTY ❑ SCC El IND 12/20/2017 Joan Marfia Lewis El CoM retired 250.00 250.00 250.00 ❑ OTH Gilroy, CA 95020 ❑ PTY ❑ SCC Mary Humphrey Accountancy Corporation ❑IND El COM 12/20/2017 7937 Hanna St. ® OTH 500.00 500.00 500.00 Gilroy, CA 95020 ❑ PTY ❑ SCC *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 SUBTOTAL $ 1050.00`fy., �:, �',:iY � FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA 460 f rom 01/01/2017 FORM through 12/31/2017 Page 11 of 13 NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR COMMITTEE, CONTRIBUTOR * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF ALSO ENTER I.D. NUMBER) CODE (IF SELF - EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) ® IND Benjamin Shew El coM retired 12/21 /2017 ❑ OTH 50.00 50.00 50.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Kirsten Shew ® IND El coM teacher, GUSD 12/21/2017 ❑ OTH 50.00 50.00 50.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Karen Aitken Bernosky ® IND ❑coM owner, 12/21/2017 ❑ OTH Aitken &Associates 500.00 500.00 500.00 Gilroy, CA 95020 ❑ PTY ❑ SCC 2 IND Susan Yanagihara retired .12/22/2017 ❑ OTH 500.00 500.00 500.00 Honolulu, HI 96822 ❑ PTY ❑ SCC Salvatore Tomasello ® IND El coM retired 12/27/2017 El OTH 50.00 50.00 50.00 Gilroy, CA 95020 PTY ❑ SCC SUBTOTAL $ 1150.00' *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 Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.) Monetary Contributions Keceived to whole dollars. Statement covers period • _ from 01/01/2017 • ' through 12/31/2017 Page 12 of NAME OF FILER I.D. NUMBER Marie Blankley for City Council 2018 1400066 DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CONTRIBUTOR CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) ® IND Mary Donahue ❑❑ COM retired 12/28/2017 50.00 50.00 Gilroy, CA 95020 ❑ PTY ❑ SCC Lanny Brown ® IND ❑ COM Associate Dean,lntensive 12/30/2017 E] OTH Basic Police Academ Y, 250.00 250.00 250.00 Gilroy, CA 95020 ❑PTY Santa Rosa Jr. College ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 300.00 r *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 Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Marie Blankley for City Council 2018 Amounts may be rounded to whole dollars. Statement covers period from 01/01/2017 through 12/31/2017 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 13 of 13 I.D. NUMBER 1400066 CMP campaign paraphernalia /misc. MBR member communications RAID 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 Secretary of State Form 410 filing fee 1500 11 th Street, Rm 495 50.00 Sacramento, CA 95814 PayPal merchant charges 18.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 68.00 Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.) 68.00 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 $ 68.00 FPPC Form 460 (Jan /2016) FPPC Advice: advice @fppc.ca.gov (866/275 -3772) www.fppc.ca.gov