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HomeMy WebLinkAboutPaul Kloecker - Form 460 - 2012/10/31 - 2012/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period Date of election if applicable from `0 _ 31 ^ 'W , Z (Month, Day, Year) Data' Stam p ty' COVER PAGE Page-A-- of _J6, For Official Use Only SEE INSTRUCTIONS ON REVERSE through k 7 1. Type of Recipient Committee: All committees - complete Parts 1, 2, 3, and 4. 2. Type of Statement: Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ( Preelection Statement ❑ Quarterly Statement Q State Candidate Election Committee Committee Semi - annual Statement ❑ Special Odd -Year Report Q Recall (Also Complete Part 5) Q Controlled O Sponsored ❑ Termination Statement (Also file a Form 410 Termination) ❑ Supplemental Preelection Statement -Attach Form 495 General Purpose Committee F-1 General Q Sponsored O Small Contributor Committee 0 Political Party /Central Committee Complete Part 6) ❑ Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) ❑ Amendment (Explain below) 3. Committee Information I.D. NUMBER X34 ® COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) �J' V.:.c:'aCy_e1L f0R CIT l STREET ADDRESS (NO P.O. BOX) R) 4:�1 ' rLL'T01 C_tr. CITY STATE ZIP CODE AREA CODE /PHONE &1L.Jzr' -1 C j�. R -90W 40a - 43,lAt2,9 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 OF TREASURER 1I)- L &RGLi Pt2 't MAILING ADDRESS 8 `L VA 'D¢ 2tl­l Q L CITY STATE ZIP CODE AREA CODE /PHONE &ILV -01, CO,- OL'SO 24C) NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE 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. — 11 '� r Executed on (� + By Date Signature of Treasurer or Assistant Treasurer Executed on 3 L" Z� FZ BY Date Signature of Controlling Offceli ider, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on BY Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on BY Date Signature of Controlling Officeholder, Candidate, StateMeasure Proponent FPPC Form 460 (January/OS) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661275 -3772) State of California Type or print in ink. Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAM OF OFFICEHOLDER OR CANDIDATE i ) - V- Loec -e-e(' OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP X431 �a�T C--. G %LV-C,-c CA. CM;0XJ 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) 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE COVERPAGE -PART2 Page 7 of i6 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 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 ❑ l 'POSE 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 /ASK -FPPC (866/275 -3772) State of California Campaign Disclosure Statement Summary Page SFF INSTRt1CTIONS ON REVERSE NAME OF FILER le C_ Contributions Received 1. Monetary Contributions ............ ............................... Schedule A, Line 3 2. Loans Received ....................... ............................... Schedule e, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 + 2 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED • ...... ........•••........•AddLines3 +4 Type or print in ink. Amounts may be rounded to whole dollars. Column A TOTALTHIS PERIOD (FROM ATTACHED SCHEDULES) $ $ Expenditures Made 6. Payments Made ........................ ............................... Schedule E, Line 4 $ l A 1 • 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 t, Line 4 15. Cash Payments ................... ............................... Column A, Line 8 above 16. ENDING CASH BALANCE .......... Add Lines 12 + 13 + 14, then subtract Line 15 $ 9 ® ?g If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule e, 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 $ SUMMARY PAGE Statement covers period from through 0 -- 72 i' 20 i L Page —5-- of _& — Column B CALENDAR YEAR TOTALTODATE 2? 7aA- y� i/ 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). I.D. NUMBER 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) — I $ *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) Schp- dililP A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be rounded to whole dollars. Statement covers period CALIFORNIA I , ►O -2,` from 4 FORM through 11��J� Page 4___ of �2- SEE INSTRUCTIONS ON REVERSE NAME FILER I.D. NUMBER mOF i k'--A I Zc(e 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 ❑ COM E] OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 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 $100 ............ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ................... SUBTOTAL$ 8� TOTAL $ 0� *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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772) R SCHEDULEB -PART1 Schedule B — Part 1 type or may b In InK. Amounts may be rounded Statement covers period CALIFORNIA , ' to whole dollars. Loans Received r 10 —3� �- • ' from through �2: �\ ~%« Page '� of — SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT RECEIVED THIS (r) AMOUNT PAID (d) OUTSTANDING BALANCE AT te) INTEREST PAID THIS (r) ORIGINAL AMOUNT OF (9) CUMULATIVE CONTRIBUTIONS OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) BEGINNING THIS PERIOD PERIOD OR FORGIVEN THIS PERIOD* CLOSE OF THIS PERIOD PERIOD LOAN TO DATE �J y� E] PAID �s �j �j CALEENDAARRY(EAAR ❑ FORGIVEN RATE PER ELECTION** Za �SC9'LC1 $� $� $— �7��� $ 7'�l JLFf J7� $k�n DATE DUE DA E�INC`URR�ED \LiLai, t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION** RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION** RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC 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.) ........... ............................... Enter the net here and on the Summary Page, Column A, Line 2. F*Amounts forgiven or paid by another party also must be reported on Schedule A. equired. $ a( ........ NET $ (Maybe a negative number) (Enter (e) on Schedule E, Line 3) t butor 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 V-1-0 leC 'd. 1v, Type or print in ink. Amounts may be rounded to whole dollars. SCHEDULEE Statement covers period from 1 0 —S 1-7Q ( Z through ?QL2,_ Page Of I.D. NUMBER 1!2-A 1 E3 Co 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 4lL901 f +L ircrkj0 FV4VVTJAL , 41; Y10) f * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ �lt,4 1 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)