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HomeMy WebLinkAboutPaul Kloecker - Form 460 - 2015/07/01 - 2015/12/31Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200 - 84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. Statement covers. period from 'r I — S through Type of Recipient Committee: All Committees - Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee ❑ Ballot Measure Committee Q State Candidate Election Committee Q Primarily Formed Q Recall Q Controlled (Also complete Part 5) 0 Sponsored ❑ General Purpose Committee (A- complete Part 6) Q Sponsored ❑ Primarily Formed Candidate/ Q Small Contributor Committee Offceholder Committee Q Political Party /Central Committee (Also Complete Part 7) 3. Committee Information I.D. NUMBER EK. COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) WVL Y, K- L0C- C'V41Yq, rfl,[L &41110Y C%TY 1CO31-0t1r STREET ADDRESS (NO P.O. BOX) 843t p-c%,rP, C-r, CITY STATE ZIP CODE AREA CODE /PHONE & tLq_0'c CR• c6od7c) q08$� Noz MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 4. Verification Date —I FEB -1 2016 Date of election If ap is ble: (Month, Day, Yea �, CLERKS 01=110E aILROY, CA aa 9sir•EZ� 2. Type of Statement: ❑ Preelection Statement Semi - annual Statement Termination Statement ❑ Amendment (Explain below) COVER PAGE Page _j_ of `� For Official Use Only ❑ Quarterly Statement ❑ Special Odd -Year Report ❑ Supplemental Preelection Statement - Attach Form 495 Treasurer(s) NAME OF TREASURER MAILING ADDRESS (9440 � CITY STATE ZIP CODE AREA CODE /PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE /PHONE OPTIONAL: FAX / E -MAIL ADDRESS 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 certify under penalty of perjury under the laws of the State of California that the foregoiM is true and correct. Executed on �' I By b ��wwer®rAssistant`rreasurer Executed on By Data Stanettre nfr:mfmrim ird•Nrl•r .a i W. Rtn/w AAwau rn P.rw,nc.a...oe�......��w�e n,r..e...•e.....,�... Executed on Data By Signature of Controlling Officeholder, Candkiate, State Measure Proponent Executed on By Data Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 1ASK -FPPC State of California Recipient Committee Type or print in ink. COVERPAGE -PART2 Campaign Statement CALIFORNIA Cover Page — Part 2 FORM 460 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE 'R'P+vt. \( V w ac V'be' OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP 65472"t rR Cam, 6riu1b%t I Crip gSb20 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 /PHONE Page of 6. Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION E:1 E:1 ❑ 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 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 Attach continuation sheets if necessary FPPC Form 460 (June /01) FPPC Toll -Free Helpiine: 866 /ASK -FPPC State of California Campaign Disclosure Statement Type or print In Ink. SUMMARY PAGE Summary Page Amoto whole dollar may be nded W Statement covers period from 7 1 � tr SEE INSTRUCTIONS ON REVERSE through a — Paga of kle NAMES 0 FILER I.O. NUMBER �C�V l LO�c+lfS1'� :Q {2D4, Column A Contributions Received TOTALTHISPERIOD (FROM ATTACHED SCHEDULES) 1. Monetary Contributions ............ ............................... Schedule A, Line 3 $ 2. Loans Received ....................... ............................... Schedule s, 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 $ 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 t, Line 4 15. Cash Payments ................... ............................... Column A, Line s above 16. ENDING CASH BALANCE .......... Add lines 12 + 13 + 14, then subtract Line 15 $ Q h./ If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ........................... Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ......... ............................... See instructions on reverse $ 19. Outstanding Debts ......................... Add Line 2 + Line 9 in Column B above $ Column B CALENDAR YEAR TOTAL TO DATE $ $ $ _ $ $- 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). Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 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 — $ $ I $ $ Since January 1, 2001. Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC C Schedule A Type or print in Ink. SCHEDULE A Monetary Contributions Rived Amounts may be rounded ry on ons ece to whole dollars. Statement covers period---' CALIFORNIA from M— © (— 157 • FORM through kl—SI -5 -sr Page Pa of ` SEE INSTRUCTIONS ON REVERSE NAME OF FILER \ � I.D. NUMBER r�A MAP DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR (E COMMITTEE, RALSAND ZIP I.D.N DE O 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) Sbf C q-1 OT eAvt�(3 ❑COM E]OTH .,. O PTY ��fa' 'er � O ❑SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑IND ❑COM ❑OTH ❑ PTY ❑SCC SUBTOTAL$ Schedule A Summary 1. Amount received this period — contributions of $100 or more. (Include all Schedule A subtotals.) ........ ............................... ..................... ............................... $ 4; 2. Amount received this period — unitemized 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 $ 'Contributor Codes IND — individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (June/01) FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHFDULF R - PART 1 bcneauie Li — cart i -- . - Amouuntnt s may be rounded Statement covers period _ Loans Received to whole dollars. ��0`� k� •' ' from ' ISO SEE INSTRUCTIONS ON REVERSE through Page of _�L! NAME OF FILER I.D. NUMBER 17 1i 1..olv��t.e iL 17";'A V2166 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING BALANCE (b) AMOUNT (c) AMOUNTPAID (d) OUTSTANDING BALANCEAT (e) INTEREST (r) ORIGINAL (g) CUMULATIVE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF - EMPLOYED, ENTER BEGINNING THIS RECEIVED THIS PERIOD OR FORGIVEN CLOSE OF THIS PAID THIS AMOUNTOF CONTRIBUTIONS NAME OF BUSINESS ) THIS PERIOD PERIOD LOAN TO DATE n �4� eC� CL �J �..�` � �'� )j PAID CALENDAR YEAR FORGIVEN Q n Cr�eo�, RATE PER ELECTION - S t IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR $ S % $ 11 ❑ FORGIVEN RATE PER ELECTION`* t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC S S S S S DATE DUE DATE INCURRED ❑ PAID CALENDARYEAR ❑ FORGIVEN RATE PERELECTION- t❑ IND El COM [I OTH [3 PTY [] SCC S S S S S DATE DUE DATE INCURRED SUBTOTALS $ $ $ WO $ Schedule B Summary 1. Loans received this period ..................................................................................... ............................... $ (Total Column (b) plus unitemized loans less than $100.) 2. Loans paid or forgiven this period .......................................................................... ......................... .I..... $ (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) �f 3. Net change this period. (Subtract Line 2 from Line 1.) ................................ ............................... NET $ T Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) t Contributor Codes IND—individual COM — Recipient Committee (other than PTY or SCC) OTH — Other PTY — Political Party SCC — Small Contributor Committee (tmer (e) on Schedule E, Line 3) 'Amounts forgiven or paid by another party also must be reported on Schedule A. " If required. FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC Schedule E Type or print in ink. Statement covers period Amounts may be rounded Payments Made to whole dollars. from CO7— O ►" L5 SEE INSTRUCTIONS ON REVERSE through «•J ►� Page —k— of NAME OF FILER I.D. NUMBER 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 TB_ 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 M 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 Lrr 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 'AO " Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL$ Schedule E Summary 1. Payments made this period of $100 or more. (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.) . I ............................ $ ............................. $ ............................. $ ................ TOTAL $ FPPC Form 460 (June /01) FPPC Toll -Free Helpline: 866 /ASK -FPPC