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HomeMy WebLinkAboutPaul Kloecker - Form 460 - 2011/09/01 - 2011/12/31 Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Type or print in ink. Statement covers period from ----9 J 0 \ I q I I thrOUgh\"2/~ \ I H SEE INSTRUCTIONS ON REVERSE 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. ~ Officeholder, Candidate Controlled Committee D Primarily Formed Ballot Measure o State Candidate Election Committee Committee o Recall 0 Controlled (Also Complete Part 5) 0 Sponsored (Also Complete Part 6) D General Purpose Committee o Sponsored o Small Contributor Committee o Political Party/Central Committee D Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 3. Committee Information b~ COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) rl=ltou- \J. "Ll,..b5 <:.. ~c: ll-- 1="0 r... c;,..\~ ''\. C \.t'\ (0'../ :.ac:...... (:);::J..~ STREET ADDRESS (NO P.O. BOX) SA "6 \ 'J\::;.~"\ ~ (.". CITY ~,1...~'1 '. (.~, MAILING ADDRESS (IF DIFFERENT) NO. STATE ZIP CODE "S'G 'z.c. AND STREET OR P.O. BOX ~jR STATE ZIP CODE AREA CODE/PHONE CITY AREA CODE/PHONE OPTIONAL FAX / E-MAIL ADDRESS ./' For Official Use Only COVER PAGE CALIFORNIA 460 FORM Date of election if applicable: (Month, Day, Year) j~\\ 'a\~r"1M: "t CDKS Vt \-,..,\;;. ('rrf \ILU' . N't;'ri'[ Ch ";:H..~~~V , , \ Page of y, \ (\.JD<Di~~ I 2. Type of Statement: D Preelection Statement I)( Semi-annual Statement D Termination Statement (Also file a Form 410 Termination) D Amendment (Explain below) D Quarterly Statement D Special Odd-Year Report D Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER ~\.. &~(...\..\~~~\ MAILING ADDRESS B ~L8 "2. VV\u(t.\U:)"" CITY ~ \'" '(l.e ''\ ~"q; Sv ~ '- ~ \ \ c.., STATE ZIP CODE AREA CODE/PHONE Ct~. ~sc-tO NAME OF ASSISTANT TREASURER, IF ANY ~j~ ~I~ MAILING ADDRESS CITY ~ J ~TE ZIP CODE AREA CODE/PHONE OPTIONAL FAX / E-MAIL ADDRESS 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 true and correct. -:::::< /, Executed on \ t, "2, ~ II z... By ~' ate ' Signature of Treasurer or Assistant Treasurer , -z.,.~ 1, '1,. By ~ /~. ~ bate Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Executed on By Signature of Controlling Officeholder, Candidate, State Measure Proponent Date Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (January/05) FPPC Toll-Free Helpline: 866/ASK.FPPC (866/275-3772) State of California Type or print in ink. COVER PAGE - PART 2 Recipient Committee Campaign Statement Cover Page - Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE '""'Do., .. , ''-.'. f ~,.......... ..." \L \.-Ci~c.~an- OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) C \l:) \,)~ c.:.. \ \.. rt' ~~ c.. \, '"\ 0 ~ <:s..\l..~ 'i RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP BA:b\ c..,. b\LQ.O",,\ ~ (~. ~9:>2D ~(...'T~ 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 1.0. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? DYES o 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? DYES o NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION D SUPPORT o 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 of(iceho/der(s) or candidate(s) for which this committee is primarily formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT o OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD D SUPPORT D OPPOSE Attach continuation sheets if necessary FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) State of California Campaign Disclosure Statement Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER ?~~ '- \t ~12- Contributions Received 1. Monetary Contributions ........................................... Schedule A, Line 3 2. Loans Received ...................................................... Schedule 8. Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions .................................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 + 4 Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTAL THIS PERIOD (FROM ATTACHED SCHEDULES) -' $ 2(.,0 /00'" .3 (p 0 ,..- 9i ~ibO'; SUMMARY PAGE Statement covers period from OJ ~ H through ~ CALIFORNIA 460 FORM Column B CALENDAR YEAR TOTAL TO DATE '"" $ 2~o it.",) 0.... . Page "; G, $ $ , $ ?:, io 0 (i ~{pO of $ 1.0. NUMBER \~4 \'2..0lP 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 $ $ $ 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 $ <;0 "2,.'2. -;--' ~ L. /;.~ 05 CA' 7' ~ ~z. $ -0 -z. L.. ~ (J5 f,~' ~7..~ ~ t5~ --z.7.... Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (If Subject to Voluntary Expenditure limit) Date of Election (mm/dd/yy) Total to Date $ $ $ $ ---.J---.J_ $ Current Cash Statement 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 13. Cash Receipts ................................................... ColumnA, Line 3 above 14. Miscellaneous Increases to Cash ........................... Schedule I, Line 4 15. Cash Payments .................................................. ColumnA, 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. $ cf ~0l!) ..... (/)4> '"2,. '2.. ~ ~ ~ "3> -7 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). 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 $ $ ~ $ $ ~ ---.J---.J_ $ . Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A Monetary Contributions Received Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULE A SEE INSTRUCTIONS ON REVERSE NAME OF FILER ~ ~ ~ '- " )t\.b~<:. ~fL.. Statement covers period ,/e~/1I through t'2./c r I" I , CALIFORNIA 460 FORM from Page t- of (p 1.0. NUMBER ~b4 t'2.-0 e:, DATE RECEIVED FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER (IF SELF,EMPLOYED, ENTER NAME OF BUSINESS) AMOUNT RECEIVED THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1 - DEC. 31) PER ELECTION TO DATE (IF REQUIRED) Not-J~ DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC DIND DCOM DOTH DPTY DSCC SUBTOTAL $ '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 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............................. $ _ z.. ~ 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 $ cI 2cpD FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3712) Statement covers period from ~, b , J I I t I through ~ Schedule B - Part 1 Loans Received Type or print in ink. Amounts may be rounded to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER 7 Au \... " \1.-\..0 12C~E.'Q... IF AN INDIVIDUAL, ENTER a (b) (e) (d) FULL NAME, STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING OF LENDER OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCEAT RECEIVED THIS OR FORGIVEN (IF COMMITTEE, ALSO ENTER !.D. NUMBER) (IF SELF. EMPLOYED, ENTER BEGINNING THIS CLOSE OF THIS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD- PERIOD V~u\... " V- '- (.?~ Co "-~ tt.. ~"" \~e')> I(i PAID 841:.\ 'b~\"''"''{'~ (. 't" . $ ~ $ ico ~\,. ~c'" ) c~. ~ <';02D ~ FORGIVEN r$ \ t:XJ d> C> P f:n-S t~'IND o COM o OTH o PTY o SCC DATE DUE o PAID $ o FORGIVEN to IND o COM o OTH o PTY o SCC DATE DUE o PAID o FORGIVEN to IND o COM o OTH o PTY o SCC DATE DUE SUBTOTALS $ $ $ Schedule B Summary 1. Loans received this period................ ............ .... ....................... ............................................................. $ (Total Column (b) plus unitemized loans of less than $100.) /CO .- . >' 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.) ............................................................... NET $ Enter the net here and on the Summary Page, Column A, Line 2. I 00 .... (May be a negative number) -Amounts forgiven or paid by another party also must be reported on Schedule A. -. If required. (e) INTEREST PAID THIS PERIOD ~% RATE cj; _% RATE ~% RATE $ (Enter (e) on Schedule E, Line 3) SCHEDULE B - PART 1 CALIFORNIA 460 FORM Page If? I.D. NUMBER of ~ ~~A \20lP (f) ORIGINAL AMOUNT OF LOAN (g) CUMULATIVE CONTRIBUTIONS TO DATE CALENDAR YEAR 100 $ (00 PER ELECTION-- i 1/';1) J DATE'lNC RED ,C>C) CALENDAR YEAR PER ELECTION .. DATE INCURRED CALENOAR YEAR PER ELECTtON-- DATE INCURRED 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 (January/05) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772) CALIFORNIA 460 FORM Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from , I ~ , / ' I through \"2,. l<:b i II I , , SCHEDULE E SEE INSTRUCTIONS ON REVERSE NAME OF FILER ('--v\~ \..) '- V I v.... \... c.:> E c.. ~e-i C2...J page~ Of~ 1.0. NUMBER t~4 \20~ 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 UT campaign literature and mailings PRT print ads Vl/EB 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 ~~~L..~~ c.\... ~ ('l.. \l. ~ C. ~~~I?~ 0\'\ P c: ~-Q<:''G~_ -z. z. ~ W~<.i\..~ F ~ '<U:.~ ~ ~}J 'L. - * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ c;; r%) ~ '2.- L. ~ 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 $ ~ -'2"2- ~ tf:. '7, -z. ~ FPPC Form 460 (January/OS) FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)