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HomeMy WebLinkAboutPaul Kloecker - Form 460 - 2012/01/01 - 2012/06/30Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Date Stamp Statement covers period Date of election if applicable: (Month, Day, Year) Ql from 0 through 1. Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure Q State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) O Sponsored (Also Complete Part s) ❑ General Purpose Committee Q Sponsored [) Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) %zS:.�'j . tiL.C'F_ CV�W'i f✓C)r2 (�LUU -1 C T-i CCy'_11WCiL (2,C)1 2 4. STREET ADDRESS (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 2. Type of Statement: ❑ Preelection Statement Semi- annual Statement ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) COVER PAGE _ of _- For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER L l� RcGL.t p CZ l7 1 MAILING ADDRESS 0- P w-1 14v ks • sp r4c'Q W.4 CITY STATE ZIP CODE AREA CODE /PHONE G k i2O'� , C PA - g �_-_G'L0 NAME OF ASSISTANT TREASURER, IF ANY %'a (Ali MAILING ADDRESS CITY N'A OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA 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 —717 7 112,1 By Date - Signature of Treasurer or Assistant Treasurer -7/ /1� c Executed on �5 l ZSI By Date re SlgnatuofControlling ceh er,C R i ate, State Measure Proponent or esponsibleOfficer ofSponsor Executed on Date Executed on Date By Signature of Controlling OlficaMder, Candidate, State Measure Proponent By FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) �AvNG�Lrmpty �yr-t of �'wi�`fi RESIDENTIALBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 84:&i �auru Gam, C���Rs`i ►CA.9goX) 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? . [❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVER PAGE - PART 2 Page _T__ of BALLOT NO. OR LETTER JURISDICTION I ❑ 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 CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 1ASK-FPPC (866/275 -3772) State of California rd Fj� Campaign Disclosure Statement Summary Page APP: INSTRUCTIONS ON REVERSE NAME OF FILER L_0 ec.l_E fZ Contributions Received 1. Monetary Contributions ............ ............................... schedule A, Line 3 2. Loans Received ....................... ............................... schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions ..... ............................... schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ...••.• • ..............•••••AddLines3 +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 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. Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTALTHISPERIOD (FROMATTACHED SCHEDULES) up $ %[QCi $ $ ZG4 -I $ $ C� $— $ X37 Z $ 17. LOAN GUARANTEES RECEIVED ............A?......... Schedule B, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... see instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2+ Line 9 In Column B above $ Statement covers period r from • t /'2 through Column B CALENDARYEAR TOTALTO DATE S $ Z"? * 10 � $ I� �J 4 $ inn( s� 1$ 27, 0� $ IL y $ Zy�t� 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). SUMMARY PAGE Page Y2 of I.D. NUMBER '34 17- n 6 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 (mm /dd /yy) —� J_ Total to Date *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) C Cd- hg%elii ila A Type or print in ink. SCHEDULE A Amounts may be rounded Monetary Contributions Received to Whole dollars. Statement covers period • - , from • 110 11-2, FORM through Z Page A of _ SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION , DATE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF- EMPLOVED, ENTER NAME PERIOD (JAN. 1 -DEC. 31) (IF REQUIRED) OFBUSINESS) �T® 1 rliY- tS COM -} Cs bbl l$ t1n A 1c lfl. _ ilr d C) '1Z, k�'1y0 /d 0 y 4+0 rzV" N []OTH Gr�L rZo �f, G� �S�C�2�' El PTY []SCC ONO it c o � COM ❑OTH � af1.4 P O4leu!'�- i21f= -irL iZ -t?r�( ❑COM 2aU �r 2 P. C-1 , (21 C5 -7 �i £ ❑OTH 2 T1Y1 -i�s�i eA������.� i C:Ia•�� ❑PTY ❑ SCC r, c3 �l C D U D �Lt "I t IZ ili S 4° ii -L Sol 7 (2z 1�TL.d C_0 N � r_> IL ❑COM ❑ OTH S-0 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY []SCC SUBTOTAL E 7s Schedule A Summary , •Contributor Codes 1. Amount received this period - itemized monetary contributions. IND - Individual (Include all Schedule A subtotals.) ............................... ............................... ............................... ........... $ 2— COM- Recipient Committee (other than PTY or SCC) 2. Amount received this period - unitemized monetary contributions of less than $100 ................. $ OTH - Other (e.g., business entity) "" .... PTY - Political Party 3. Total monetary contributions received this period. SCC -Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ....................... TOTAL $ Z Co FPPC Form 460 (January105) 5 FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) K SCHEDULE S - PART 1 Schedule B — Part 1 Amounts may b un Amounts may be rounded Statement covers period P � . Loans Received to whole dollars. from ' L_ r2 • - • through b LZ� Page SEE INSTRUCTIONS ON REVERSE of NAME OF FILER I.D. NUMBER �g �. q • Y, uc4 lc: C Yom-- V 14 Mo C.0 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER ° OUTSTANDING BALANCE (b) AMOUNT (0 AMOUNT PAID (d) OUTSTANDING BALANCEAT (e) INTEREST (f) ORIGINAL (g) CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D.NUMBER) (IF SELF - EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN THIS CLOSE OF THIS PAID THIS PERIOD AMOUNTOF LOAN CONTRIBUTIONS TO DATE n­')p�� � A r \/ ,,.._ � qs� �i -PERIOD 11;0hJ PAID � 00$ $ C ALENDARYEAR % T $ om $ Vo --ii, C ORGNEN PER ELECTION* t DATE DUE DATE INCURRED ND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR S $ % $ $ PER ELECTION ** ❑ FORGIVEN RATE t❑ ❑ COM ❑ OTH ❑PTY ❑SCC IND i $ $ $ $ - DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR PER ELECTION ** ❑ FORGIVEN RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC $ $ s $ $ DATE DUE DATE INCURRED SUBTOTALS $ $ $ 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.) ................................ ............................... NE'T $ Enter the net here and on the Summary Page, Column A; Line 2. (May be a negative number) *Amounts forgiven or paid by another parry also must be reported on Schedule A. ** If required. 1 k�mer IeI on Schedule E, Une 3) 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) Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER A O t- V wECYE(- Type or print in Ink. Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA 460 from iT l V2, FORM through kP �� 0 6 �� Page of I.D. NUMBER t-�-, d- t CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphemalia /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 MD 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 (intemet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID N oN� I Nj Pr I N /Pr I w/A * 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.) ............................................................................... ............................... $ `! f 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)