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HomeMy WebLinkAboutPaul Kloecker - Form 460 - 2014/10/19 - 2014/10/28Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) Type or print in ink. Statement covers period from /O— ICt SEE INSTRUCTIONS ON REVERSE I through 11,01 L.k" � 4- 1. Type of Recipient Committee: All Committees — complete Parts t, 2, 3, and 4. OQ fficeholder, Candidate Controlled Committee E] Primarily Formed Ballot Measure State Candidate Election Committee Committee Q Recall Q Controlled (Also Complete Part 5) Q Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Officeholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information NUM R 12 0 COMMITTEE1N /A•ME_ (OR CANDIDATE'S NAME IF NO COMMITTEE)C �LC7�C1L.CL �'n / `�1Ltuli l"t+'f STREET ADDRESS (NO P.O. BOX) 8 4 :1. t N>F_ Lrt f, G-r. .. CITY STATE ZIP CODE AREA CODE /PHONE `W020 ArgS -84Z —v lfs2. MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Date of election if applicable: (Month, Day, Year) \t —o 4-- 1l, AP Date Stamp 201�r ncK� COVER PAGE Page t of For Official Use Only 2. Type of Statement: Preelection Statement ❑ Quarterly Statement Semi - annual Statement ❑ Special Odd -Year Report ❑ Termination Statement ❑ Supplemental Preelection (Also file a Form 410 Termination) Statement - Attach Form 495 ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER �c> ra t_ (3 L. V, MAILING ADDRESS G 444 11,P R 9.aP CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE CITY OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification OPTIONAL: FAX / E -MAIL ADDRESS STATE ZIP CODE AREA CODE /PHONE 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. r Executed on ` 0 " !;, 1— 1 AY Date Executed on 6''3," 1A- Date Executed on Date Executed on Date By Signatureo TreasurerorAssistantTreasurer By Signature of ControllirTg Ofri eholder, Candidate, State Measure Proponent or Responsible Officer ofSponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Of iceholder, Candidate, State Massure Proponent FPPC Form 460 (January/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (8661276 -3772) State of California Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Type or print in ink. COVER PAGE - PART 2 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL /BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP �!) d13\ Cr. &kL(Ldl, CK 9so71> 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 STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE /PHONE COMMITTEENAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) Page Z of 6. Primarilv Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER I JURISDICTION I [-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/06) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/276 -3772) State of California Campaign Disclosure Statement Type or print in Ink. Amounts may be rounded Statement covers period Summary Page to whole dollars. from ���' �Q� [�, � - SEE INSTRUCTIONS ON REVERSE through NA OF FILER Contributions Received Column A Column B TOTALTHISPERIOD CALENDARYEAR (FROM ATTACHED SCHEDULES) TOTALTODATE 1. Monetary Contributions ............ ............................... Schedule A Line 3 $ O $ 2. Loans Received ....................... ............................... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS ......................... Add Lines 1 +2 L !�O $ �7 $ / 4. Nonmonetary Contributions ..... ............................... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED ........................... Add Lines 3 +4 $ $ Z�n� Expenditures Made Made (( f 6. Payments Made ........................ ............................... Schedule E, Line 4 $ $ �� 1 a 7. Loans Made .............................. ............................... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS ..... ............................... Add Lines 6 + 7 $ $3`� 9. Accrued Expenses (Unpaid Bills) ............................... Schedule F Line 3 5� �p 10. Nonmonetary Adjustment ........... ............................... Schedule C, Line 3 11. TOTAL EXPENDITURES MADE ................................ Add Lines 8 +s +10 $ $ '1,r�2�( 4J_ Current Cash Statement Q 7ea.— 12. Beginning Cash Balance ....................... Previous Summary Page, Line 16 $ � _ 13. Cash Receipts .................... ............................... Column A, Line 3 above 5✓�O 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 $ 7 if this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... 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 $ 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 S? of(_ I.D. NUMBER \'2- ,A \Zo(. 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 $ 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 (8661275 -3772) M 1( Schedule A Type or print in ink. SCHEDULE A Monetary Contributions Received Amounts may be roundea ry to whole dollars. statement covers period • ' from J� �-- , • through t ®e%ig a Page Of SEE INSTRUCTIONS ON REVERSE NA FILER I.D. NUMBER DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR I.D. NUMBER) DE O (IF EET A COMMITTEE. RALSAND ZIP 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 OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 7 \tMC>T \A'1 FL (GIB . TrM ❑IND immmftw 0_-a -l4 - 0TH ❑SCC G L.,;6N Lo WS . \L \' T+ C. ❑IND KCOM -Z°o .-��� �, KJ ` ❑ PTY & \l_ oy ❑ SCC � �7 �\ts `' r `p � ❑IND ❑COM SlaQ(W 1 S70 So q 1 \$ ��� E]PTY OGtvtvter Y/k o 1zr.A.0 IiA c(go v7 El 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.) ....................... ............................... ............. I...................... $ 5_250 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 $ s() '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 (8661275 -3772) r i (*].'I:I[ Bill IMr1oJ_14AI Schedule — Part 1 Amounts may be rounded Statement covers period 5 Loans Received to whole dollars. 19- 14- • 0 from —to- I �:_7 SEE INSTRUCTIONS ON REVERSE through 1 Page of NAME OF FILER I.D. NUMBER t , 'A VI L V_ L--0 ec.'Z-CL 1 'Z__n. A- 12o (c FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL ENTER , OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNT PAID (d) OUTSTANDING BALANCEAT (e) INTEREST f) ORIGINAL (g) CUMULATIVE OF LENDER (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS PERIOD AMOUNTOF CONTRIBUTIONS TO DATE NAMEOFBUSINESS) PERIOD THIS PERIOD" PERIOD LOAN Vj PAID CALENDAR YEAR C t�. �$ ��j� s -'= % $ ZG $ — `� C G \v KFORGIVEN TE PER ELECTION"` ��r� E L s $ n %J ODA $ `(/y��la ►r'�A{ "' —' $ E t [,IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE INCURRED ❑ PAID CALENDAR YEAR ❑ FORGIVEN PER ELECTION RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC E S a E E DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN PERELECTION"" RATE t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC E $ E E E DATE DUE DATE INCURRED SUBTOTALS $ $ $ lQ �-6 $ (�"j r" 777 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. ... ............................... $ ... ............................... $ ......................... NET $ (May b94 negative number) (triter (e)on Schedule E, Line 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 (8661275 -3772) Schedule E Payments Made Type or print in ink. Amounts may be rounded to whole dollars. Statement covers period from WD tq, t 4- SCHEDULE E SEE INSTRUCTIONS ON REVERSE through ' Page �2—. of —Aa_ NAME OF FILER I.D. NUMBER I-VP6 ".�� \J, � �� � \S4 aoc, CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CNP 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.U. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID `` 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 (January/05) FPPC Toll -Free Helpline: 866 /ASK -FPPC (866/275 -3772)