· campaign statement cover page — part 2 460 5. officeholder or candidate controlled committee...

Page of

COVERPAGE-PART2

CALIFORNIAFORM

Recipient CommitteeCampaign StatementCover Page — Part 2

460

5. Officeholder or Candidate Controlled CommitteeNAMEOFOFFICEHOLDERORCANDIDATE

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.

NAMEOFTREASURER

COMMITTEENAME

YES NO

I.D.NUMBER

CONTROLLEDCOMMITTEE?

COMMITTEEADDRESS STREETADDRESS(NOP.O.BOX)

CITY STATE ZIPCODE AREACODE/PHONE

OFFICESOUGHTORHELD(INCLUDELOCATIONANDDISTRICTNUMBERIFAPPLICABLE)

RESIDENTIAL/BUSINESSADDRESS(NO.ANDSTREET) CITY STATE ZIP

NAMEOFTREASURER

COMMITTEENAME

YES NO

I.D.NUMBER

CONTROLLEDCOMMITTEE?

COMMITTEEADDRESS STREETADDRESS(NOP.O.BOX)

CITY STATE ZIPCODE AREACODE/PHONE

6. Primarily Formed Ballot Measure CommitteeNAMEOFBALLOTMEASURE

DISTRICTNO.IFANY

Identify the controlling officeholder, candidate, or state measure proponent, if any.

NAMEOFOFFICEHOLDER,CANDIDATE,ORPROPONENT

OFFICESOUGHTORHELD

JURISDICTIONSUPPORTOPPOSE

BALLOTNO.ORLETTER

7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed.

NAMEOFOFFICEHOLDERORCANDIDATE

NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELD

OFFICESOUGHTORHELDSUPPORTOPPOSE

SUPPORTOPPOSE

NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELDSUPPORTOPPOSE

Attach continuation sheets if necessary

NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELDSUPPORTOPPOSE

FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)

www.fppc.ca.gov

2 9

Recall of Council Member Herb Perez

City of Foster City✔

SEEINSTRUCTIONSONREVERSENAMEOFFILER

Campaign Disclosure StatementSummary Page

Page of

Amounts may be roundedto whole dollars.

I.D.NUMBER

Current Cash Statement12.BeginningCashBalance............................ Previous Summary Page, Line 16 $

13.CashReceipts........................................................... Column A, Line 3 above

14.MiscellaneousIncreasestoCash.................................. Schedule I, Line 4

15.CashPayments......................................................... 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.

CALIFORNIAFORM

SUMMARYPAGE

Expenditures Made6. PaymentsMade................................................................ Schedule E, Line 4 $ $

7. LoansMade....................................................................... Schedule H, Line 3

8. SUBTOTALCASHPAYMENTS.......................................... Add Lines 6 + 7 $ $

9. AccruedExpenses(UnpaidBills)..........................................Schedule F, Line 3

10.NonmonetaryAdjustment.........................................................Schedule C, Line 3

11.TOTALEXPENDITURESMADE........................................ Add Lines 8 + 9 + 10 $ $

17.LOANGUARANTEESRECEIVED................................ Schedule B, Part 2 $

Cash Equivalents and Outstanding Debts18. CashEquivalents................................................ See instructions on reverse $

19. OutstandingDebts.............................. Add Line 2 + Line 9 in Column B above $

Contributions Received

1. MonetaryContributions................................................... Schedule A, Line 3 $ $

2. LoansReceived................................................................ Schedule B, Line 3

3. SUBTOTALCASHCONTRIBUTIONS.............................. Add Lines 1 + 2 $ $

4. NonmonetaryContributions............................................ Schedule C, Line 3

5. TOTALCONTRIBUTIONSRECEIVED....................................Add Lines 3 + 4 $ $

460Statement covers period

from

through

Column BCALENDARYEARTOTALTODATE

Column ATOTALTHISPERIOD

(FROMATTACHEDSCHEDULES)

Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through6/30 7/1 toDate

20. Contributions Received $ $

21. Expenditures Made $ $

Expenditure Limit Summary for State Candidates

*AmountsinthissectionmaybedifferentfromamountsreportedinColumnB.

DateofElection(mm/dd/yy)

TotaltoDate

22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit)

TocalculateColumnB,addamountsinColumnAtothecorrespondingamountsfromColumnBofyourlastreport.SomeamountsinColumnAmaybenegativefiguresthatshouldbesubtractedfrompreviousperiodamounts.Ifthisisthefirstreportbeingfiledforthiscalendaryear,onlycarryovertheamountsfromLines2,7,and9(ifany).

/ /

/ /

$

$


www.fppc.ca.gov

2/16/2020

5/15/2020 3 9

Committee to Recall Council Member Herb Perez 1418889

6136

-$4900

1236

0

1236

7435

0

7435

-500

0

6935

6277

$1236

0

$7435

78

0

0

0

17357

0

17357

0

17357

16012

$0

16012

0

0

16012

Schedule AMonetary Contributions Received

Page of


PERELECTIONTODATE

(IFREQUIRED)

CUMULATIVETODATECALENDARYEAR(JAN.1-DEC.31)

AMOUNTRECEIVEDTHIS

PERIOD

IFANINDIVIDUAL,ENTEROCCUPATIONANDEMPLOYER(IFSELF-EMPLOYED,ENTERNAME

OFBUSINESS)

DATERECEIVED

SEEINSTRUCTIONSONREVERSENAMEOFFILER I.D.NUMBER

SCHEDULEA

SUBTOTAL $

CALIFORNIAFORM

Statement covers period

from

through

Schedule A Summary1.Amountreceivedthisperiod–itemizedmonetarycontributions.

(IncludeallScheduleAsubtotals.).........................................................................................................$

2.Amountreceivedthisperiod–unitemizedmonetarycontributionsoflessthan$100...........................$

3.Totalmonetarycontributionsreceivedthisperiod.(AddLines1and2.EnterhereandontheSummaryPage,ColumnA,Line1.)......................TOTAL$

FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR(IFCOMMITTEE,ALSOENTERI.D.NUMBER)

CONTRIBUTORCODE*

*ContributorCodesIND–IndividualCOM–RecipientCommittee (otherthanPTYorSCC)OTH–Other(e.g.,businessentity)PTY–PoliticalPartySCC–SmallContributorCommittee

INDCOMOTHPTYSCC

460

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC


www.fppc.ca.gov

2/16/2020

5/15/2020 4 9


2/22/2020Gary Pollard

foster City CA 94404

✔Travel AdvisorAmbassador Tours $200 $200

2/22/2020Mitch Drangle

Foster City CA 94404

✔Business Self-employed $500 $500

3/3/2020Barbara Regan


✔Retired

$300 $300

3/3/2020Solomon Tsai


✔BusinessSelf-Employed $750 $750

3/4/2020Andy Chen

t Foster City CA 94404✔ BDD

Covance $200 $200

1950

2590

3546

6136

Page of


NAMEOFFILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D.NUMBER

SCHEDULEA(CONT.)Statement covers period

from

through

CALIFORNIAFORM 460

PERELECTIONTODATE

(IFREQUIRED)

CUMULATIVETODATECALENDARYEAR(JAN.1-DEC.31)

AMOUNTRECEIVEDTHIS

PERIOD

IFANINDIVIDUAL,ENTEROCCUPATIONANDEMPLOYER(IFSELF-EMPLOYED,ENTERNAME

OFBUSINESS)

DATERECEIVED

SUBTOTAL $

FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR(IFCOMMITTEE,ALSOENTERI.D.NUMBER)

CONTRIBUTORCODE*

*ContributorCodesIND–IndividualCOM–RecipientCommittee (otherthanPTYorSCC)OTH–Other(e.g.,businessentity)PTY–PoliticalPartySCC–SmallContributorCommittee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC


www.fppc.ca.gov

2/16/2020

5/15/2020 5 9


3/8/2020Isabelle Bushman ✔ Executive Assistant

Twilio $100 $100

3/9/2020Laura Rayner

Foster City CA 94404✔ Admin Assistant

Stanford Medical $100 $100

3/9/2020Jason Pollard

Foster City CA 94404✔ Accountant

Self-employed $100 $100

3/9/2020Lisa Taner

San Mateo CA 94403✔ Property Manager

William F Kenney $200 $200

3/9/2020Lisa Brooks

Foster City CA 94404✔ Consultant

IRIS Statistical Institute $140 $140

640

IND COM OTH PTY SCC


from

throughI.D.NUMBER

SCHEDULEB-PART1Amounts may be roundedto whole dollars.Schedule B – Part 1

Loans Received

Page of

SUBTOTALS $


CALIFORNIAFORM 460

$ $

IFANINDIVIDUAL,ENTEROCCUPATIONANDEMPLOYER

(IFSELF-EMPLOYED,ENTERNAMEOFBUSINESS)

INTERESTPAIDTHISPERIOD

CUMULATIVECONTRIBUTIONS

TODATE

FULLNAME,STREETADDRESSANDZIPCODEOFLENDER

(IFCOMMITTEE,ALSOENTERI.D.NUMBER)

ORIGINALAMOUNTOF

LOAN

OUTSTANDINGBALANCE

BEGINNINGTHISPERIOD

AMOUNTRECEIVEDTHIS

PERIOD

AMOUNTPAIDORFORGIVENTHISPERIOD

OUTSTANDINGBALANCEAT

CLOSEOFTHISPERIOD

(b) (c) (e)

$

DATEINCURRED

(Enter(e)onScheduleE,Line3)

CALENDARYEAR

$

PERELECTION

$

%RATE

$

*AmountsforgivenorpaidbyanotherpartyalsomustbereportedonScheduleA.**Ifrequired.

Schedule B Summary1. Loansreceivedthisperiod....................................................................................................................$ (TotalColumn(b)plusunitemizedloansoflessthan$100.)

2. Loanspaidorforgiventhisperiod.........................................................................................................$ (TotalColumn(c)plusloansunder$100paidorforgiven.) (IncludeloanspaidbyathirdpartythatarealsoitemizedonScheduleA.)

3. Netchangethisperiod.(SubtractLine2fromLine1.)..............................................................NET $ EnterthenethereandontheSummaryPage,ColumnA,Line2. (Maybeanegativenumber)

(a) (d)

$ $

(f) (g)

PAID

$

FORGIVEN

$

$

DATEDUE

$

$

DATEINCURRED

CALENDARYEAR

$

PERELECTION

$

%RATE

$ $ $

PAID

$

FORGIVEN

$

$

DATEDUE

$

DATEINCURRED

CALENDARYEAR

$

PERELECTION

$

%RATE

$ $ $

PAID

$

FORGIVEN

$

$

DATEDUE

IND COM OTH PTY SCC

IND COM OTH PTY SCC

*

**

**

**

†

†

†

†ContributorCodesIND–IndividualCOM–RecipientCommittee (otherthanPTYorSCC)OTH–Other(e.g.,businessentity)PTY–PoliticalPartySCC–SmallContributorCommittee


www.fppc.ca.gov

2/16/2020

5/15/2020 9


Shankar Kenkre Foster City CA 94404

✔

IT ConsultantRSK Consulting

2500 0

✔

2500 0 0

0

2500

11/13/19

2500

2500

Stacy Jimenez Foster City CA

94404

✔

AttorneySelf-employed

2400 2467

✔

4467

✔

400

0 0

0

4467

11/20/19

4467

4467

Yvonne Ryzak Foster City CA

94404

Retired

0 1000

✔

1000 0 0

0

1000

3/3/20

1000

1000

3467 8367 0 0

3467

8367

(4900)


Schedule EPayments Made

Page of

CODES: Ifoneof the followingcodesaccuratelydescribes thepayment,youmayenter thecode.Otherwise,describe thepayment.

CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID

SUBTOTAL $


I.D.NUMBER


from

through

SCHEDULEE

RAD radioairtimeandproductioncostsRFD returnedcontributionsSAL campaignworkers’salariesTEL t.v.orcableairtimeandproductioncostsTRC candidatetravel,lodging,andmealsTRS staff/spousetravel,lodging,andmealsTSF transferbetweencommitteesofthesamecandidate/sponsorVOT voterregistrationWEB informationtechnologycosts(internet,e-mail)

MBR membercommunicationsMTG meetingsandappearancesOFC officeexpensesPET petitioncirculatingPHO phonebanksPOL pollingandsurveyresearchPOS postage,deliveryandmessengerservicesPRO professionalservices(legal,accounting)PRT printads

Schedule E Summary

1.Itemizedpaymentsmadethisperiod.(IncludeallScheduleEsubtotals.)............................................................................................................. $

2.Unitemizedpaymentsmadethisperiodofunder$100.......................................................................................................................................... $

3.Totalinterestpaidthisperiodonloans.(EnteramountfromScheduleB,Part1,Column(e).)............................................................................. $

4.Totalpaymentsmadethisperiod.(AddLines1,2,and3.EnterhereandontheSummaryPage,ColumnA,Line6.)........................... TOTAL $

CMP campaignparaphernalia/misc.CNS campaignconsultantsCTB contribution(explainnonmonetary)*CVC civicdonationsFIL candidatefiling/ballotfeesFND fundraisingeventsIND independentexpendituresupporting/opposingothers(explain)*LEG legaldefenseLIT campaignliteratureandmailings

NAMEANDADDRESSOFPAYEE(IFCOMMITTEE,ALSOENTERI.D.NUMBER)

CALIFORNIAFORM 460

*PaymentsthatarecontributionsorindependentexpendituresmustalsobesummarizedonScheduleD.


www.fppc.ca.gov

2/16/2020

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Preciset

San Francisco CA 94080LIT $3510

FaceBook Menlo Park CA 94025 WEB $616

Bagatelos Law Firm San Francisco CA PRO $650

4776

7077

358

0

7435

CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID

SUBTOTAL $


from

through

SCHEDULEE(CONT.)Amounts may be rounded

to whole dollars.Schedule E(Continuation Sheet)Payments Made

SEEINSTRUCTIONSONREVERSE Page of

I.D.NUMBER

NAMEANDADDRESSOFPAYEE(IFCOMMITTEE,ALSOENTERI.D.NUMBER)

CALIFORNIAFORM 460






NAMEOFFILER


www.fppc.ca.gov

2/16/2020

5/15/2020 9


Political Data Inc Norwalk CA 90652 LIT $703

Olive Cafe Foster City CA 94404 MTG

Food & Beverages$167

Costco Foster City CA 94404 MTG

Food & Beverages$336

AMS systems Foster City CA 94404 LIT $795

John A Jensen Hesperus CO 81326 LIT $300

2301


from

through

I.D.NUMBER

SCHEDULEF

Schedule F Summary1.Totalaccruedexpensesincurredthisperiod.(IncludeallScheduleF,Column(b)subtotalsfor accruedexpensesof$100ormore,plustotalunitemizedaccruedexpensesunder$100.)..............................................INCURRED TOTALS $2.Totalaccruedexpensespaidthisperiod.(IncludeallScheduleF,Column(c)subtotalsforpaymentson accruedexpensesof$100ormore,plustotalunitemizedpaymentsonaccruedexpensesunder$100.)...................................PAID TOTALS $3.Netchangethisperiod.(SubtractLine2fromLine1.Enterthedifferencehereand ontheSummaryPage,ColumnA,Line9.) ................................................................................................................................................................................... NET $


Page of

Schedule FAccrued Expenses (Unpaid Bills)


NAMEANDADDRESSOFCREDITOR(IFCOMMITTEE,ALSOENTERI.D.NUMBER)

Maybeanegativenumber

$

CODEORDESCRIPTIONOFPAYMENT

(a)OUTSTANDING

BALANCEBEGINNINGOFTHISPERIOD

(b)AMOUNTINCURRED

THISPERIOD

(c)AMOUNTPAIDTHISPERIOD

(ALSOREPORTONE)

(d)OUTSTANDING

BALANCEATCLOSEOFTHISPERIOD

SUBTOTALS $ $$

CALIFORNIAFORM 460







www.fppc.ca.gov

2/16/2020

5/15/2020 9 9


Bagatelos Law Firm San Francisco CA 94127 PRO

$500 $150 $650 $0

500 150 650 0

150

650

-500

· campaign statement cover page — part 2 460 5. officeholder or candidate controlled committee...

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