460apps1.lavote.net/camp/schedules/3498.pdf · cover page part 2 460 5 officeholder or candidate...

38
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. By Signature of Treasurer or Assistant Treasurer By Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor By Signature of Controlling Officeholder, Candidate, State Measure Proponent By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date Executed on Date Executed on Date Executed on Date SEE INSTRUCTIONS ON REVERSE Date of election if applicable: (Month, Day, Year) Recipient Committee Campaign Statement Cover Page For Official Use Only Page of COVER PAGE CALIFORNIA FORM Date Stamp 3. Committee Information COMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX Statement covers period from through (Government Code Sections 84200-84216.5) 1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4. STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Treasurer(s) NAME OF TREASURER NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE 460 CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / E-MAIL ADDRESS I.D. NUMBER 2. Type of Statement: Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Quarterly Statement Special Odd-Year Report Supplemental Preelection Primarily Formed Ballot Measure Committee Controlled Sponsored (Also Complete Part 6) Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall (Also Complete Part 5) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) General Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee Statement - Attach Form 495 www.netfile.com FPPC Advice: [email protected] (866/275-3772) www.fppc.ca.gov FPPC Form 460 (Jan/2016) 1 38 01/01/2015 12/31/2015 06/07/2016 X X 1380402 DARRELL PARK FOR SUPERVISOR 2016 LONG BEACH CA 90802 (213)489-4792 (213)402-3540 DAVID L. GOULD LONG BEACH CA 90802 (213)489-4792 INGRID ORELLANA LONG BEACH CA 90802 (213)489-4792

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Page 1: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

4. VerificationI 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 certifyunder penalty of perjury under the laws of the State of California that the foregoing is true and correct.

BySignature of Treasurer or Assistant Treasurer

BySignature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor

BySignature of Controlling Officeholder, Candidate, State Measure Proponent

BySignature of Controlling Officeholder, Candidate, State Measure Proponent

Executed on Date

Executed on Date

Executed on Date

Executed on Date

SEE INSTRUCTIONS ON REVERSE

Date of election if applicable:(Month, Day, Year)

Recipient CommitteeCampaign StatementCover Page

For Official Use Only

Page of

COVER PAGE

CALIFORNIA FORM

Date Stamp

3. Committee InformationCOMMITTEE NAME (OR CANDIDATE’S NAME IF NO COMMITTEE)

MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX

Statement covers period

from

through

(Government Code Sections 84200-84216.5)

1. Type of Recipient Committee: All Committees – Complete Parts 1, 2, 3, and 4.

STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

Treasurer(s)

NAME OF TREASURER

NAME OF ASSISTANT TREASURER, IF ANY

MAILING ADDRESS

CITY STATE ZIP CODE AREA CODE/PHONE

460

CITY STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX / E-MAIL ADDRESS

MAILING ADDRESS

CITY STATE ZIP CODE AREA CODE/PHONE

OPTIONAL: FAX / E-MAIL ADDRESS

I.D. NUMBER

2. Type of Statement:Preelection StatementSemi-annual StatementTermination Statement(Also file a Form 410 Termination)

Amendment (Explain below)

Quarterly StatementSpecial Odd-Year ReportSupplemental Preelection

Primarily Formed Ballot MeasureCommittee

ControlledSponsored

(Also Complete Part 6)

Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall

(Also Complete Part 5)

Primarily Formed Candidate/Officeholder Committee(Also Complete Part 7)

General Purpose CommitteeSponsoredSmall Contributor CommitteePolitical Party/Central Committee

Statement - Attach Form 495

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

1 38

01/01/2015

12/31/2015 06/07/2016

X

X

1380402

DARRELL PARK FOR SUPERVISOR 2016

LONG BEACH CA 90802 (213)489-4792

(213)402-3540

DAVID L. GOULD

LONG BEACH CA 90802 (213)489-4792

INGRID ORELLANA

LONG BEACH CA 90802 (213)489-4792

Page 2: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

COVER PAGE - PART 2

CALIFORNIAFORM

Recipient CommitteeCampaign StatementCover Page — Part 2

460

5. Officeholder or Candidate Controlled Committee

NAME OF OFFICEHOLDER OR CANDIDATE

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 receivecontributions or make expenditures on behalf of your candidacy.

NAME OF TREASURER

COMMITTEE NAME

YES NO

I.D. NUMBER

CONTROLLED COMMITTEE?

COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)

RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP

NAME OF TREASURER

COMMITTEE NAME

YES NO

I.D. NUMBER

CONTROLLED COMMITTEE?

COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)

CITY STATE ZIP CODE AREA CODE/PHONE

6. Primarily Formed Ballot Measure Committee

NAME OF BALLOT MEASURE

DISTRICT NO. IF ANY

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

NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT

OFFICE SOUGHT OR HELD

JURISDICTION SUPPORTOPPOSE

BALLOT NO. OR LETTER

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

NAME OF OFFICEHOLDER OR CANDIDATE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD

OFFICE SOUGHT OR HELDSUPPORTOPPOSE

SUPPORTOPPOSE

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE

Attach continuation sheets if necessary

NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELDSUPPORTOPPOSE

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

2 38

DARRELL PARK

County Supervisor: Los Angeles County District 5

ALTADENA CA 91001

Page 3: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee
Page 4: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Schedule AMonetary Contributions Received

Page of

Amounts may be roundedto whole dollars.

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER I.D. NUMBER

SCHEDULE A

SUBTOTAL $

CALIFORNIAFORM

Statement covers period

from

through

Schedule A Summary1. 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.) ....................... TOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

460

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

4 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

09/29/2015 Lisa A. Dawe

South Pasadena, CA 91030

X COOWestern Dental

1,000.00 1,500.00

10/07/2015 Leslie Dawe.

Denver, CO 80207

X Music TeacherLeslie Dawe

50.00 145.00

10/08/2015 Darrell Park

Altadena, CA 91001

X FounderBetter Than We Found It,PBC

1.00 48,018.00

10/08/2015 Zahir Robb.

South Pasadena, CA 91030

X Head of SchoolStar, Inc.

100.00 100.00

10/08/2015 Jessica Yagan

Chicago, IL 60622

X CEOImpact Engine

1,500.00 1,500.00

2,651.00

96,813.00

1,130.00

97,943.00

Page 5: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

5 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

10/08/2015 Sam Yagan.

Chicago, IL 60622

X CEOMatch Inc.

1,500.00 1,500.00

10/09/2015 Maurice Gunderson

Orinda, CA 94563

X Managing DirectorShingebiss LLC

1,500.00 1,500.00

10/09/2015 Darrell Park

Altadena, CA 91001

X FounderBetter Than We Found It,PBC

2.00 48,018.00

10/11/2015 Christopher Antonelli

Los Angeles, CA 90020

X Special AssistantCA State Assembly

100.00 100.00

10/11/2015 Eric Hunn

Lafayette, CA 94549

X HR DirectorGhiradelli

250.00 250.00

3,352.00

Page 6: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

6 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

10/12/2015 Ross Park.

Boise, ID 83712

X AppraiserMartin & Park

100.00 200.00

10/15/2015 Erin Dixon

Reno, NV 89511

X Public HealthErin Dixon

150.00 250.00

10/15/2015 Anthony Mamone

Palo Alto, CA 94306

X ManagerLivingly Media, Inc.

500.00 500.00

10/16/2015 Danny Khatib

Burlingame, CA 94010

X COOLivingly Media, Inc.

100.00 100.00

10/18/2015 Lon Bell

Altadena, CA 91001

X Consulting ManagerLon Bell

1,500.00 1,500.00

2,350.00

Page 7: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

7 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

10/18/2015 Amy Whittlee.

San Francisco, CA 94117

X PhysicianUCSF

750.00 750.00

10/19/2015 Marc Chagnon

Houston, TX 77007

X Sales OperationsBMC Software

500.00 500.00

10/19/2015 Marsha Dawe

Denver, CO 80206

X RetiredNone

1,500.00 1,500.00

10/19/2015 Patric Dawe

Denver, CO 80206

X RetiredNone

1,500.00 1,500.00

10/19/2015 Darrell Park

Altadena, CA 91001

X FounderBetter Than We Found It,PBC

4.00 48,018.00

4,254.00

Page 8: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

8 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

10/22/2015 John Case

Denver, CO 80231

X Trial LawyerEvans Case LLP

500.00 500.00

10/22/2015 Bridgid Fennell

Pasadena, CA 91104

X Not EmployedNone

250.00 250.00

10/22/2015 Darrell Park

Altadena, CA 91001

X FounderBetter Than We Found It,PBC

5.00 48,018.00

10/23/2015 Bill Wiggins

Arlington, VA 22204

X Non Profit AdministratorPublic Company AccountOversight Board

1,000.00 1,000.00

10/27/2015 Eric Wittenberg

Lafayette, CO 80026

X ExecutiveSolarcity

1,000.00 1,000.00

2,755.00

Page 9: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

9 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

10/30/2015 Giancarlo DiMassa

Pasadena, CA 91106

X ER DoctorCEP America

1,000.00 1,000.00

10/30/2015 Julie P. Olsen

Valencia, CA 91354

X Learning &DevelopmentLeaderPrice Waterhouse Cooper

100.00 100.00

10/30/2015 Wayne Park

Estes Park, CO 80517

X RetiredNone

500.00 1,000.00

11/01/2015 Ben Tarbell

Palo Alto, CA 94303

X New ProductsGoogle

100.00 100.00

11/02/2015 Adrian Pujayana

South Pasadena, CA 91030

X Doctor of ChiropraticFamily Chiropractic Centerof South Pasadena

500.00 500.00

2,200.00

Page 10: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

10 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

11/06/2015 Mora Segal

Waban, MA 02468

X EducationAchievement Network

1,000.00 1,000.00

11/09/2015 Paul Lovell

Sammamish, WA 98074

X Not EmployedNone

500.00 500.00

11/10/2015 Harry Matheu

Glendale, CA 91202

X Production DesignerRocart Inc.

1,500.00 1,500.00

11/11/2015 Ramon Cintron

South Pasadena, CA 91030

X LawyerCA CDI

200.00 200.00

11/12/2015 Reginald Holmes

South Pasadena, CA 91030X

AttorneyThe Holmes Law Firm, APC

500.00 500.00

3,700.00

Page 11: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

11 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

11/13/2015 Kenneth Gardner

Coral Gables, FL 33146

X HealthcareDavita

250.00 250.00

11/13/2015 John Twita

Pasadena, CA 91106

X RetiredNone

150.00 150.00

11/13/2015 Rebecca Weintraub

Jamaica Plain, MA 02130

X PhysicianBrigham and Women'sHospital

75.00 150.00

11/14/2015 Rebecca Weintraub

Jamaica Plain, MA 02130

X PhysicianBrigham and Women'sHospital

75.00 150.00

11/14/2015 William Wherritt

South Pasadena, CA 91030

X Program ManagerLAUSD

250.00 250.00

800.00

Page 12: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

12 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

11/16/2015 David J. Galassi

Pasadena, CA 91104

X ExecutiveRest Your Case

500.00 500.00

11/16/2015 Tony Pang

Claremont, CA 91105

X Vice PresidentAeropstale

400.00 400.00

11/18/2015 Lorri Dyner

Larchmont, NY 10538

X DesignerLorri Dyner Design

500.00 500.00

11/18/2015 Ursula Hyman

Pasadena, CA 91104

X ConsultantUrsula Hyman

1,500.00 1,500.00

11/20/2015 Round Hill Asset Management

San Gabriel, CA 91775X

1,500.00 1,500.00

4,400.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

13 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

11/23/2015 Andrew Kin

Los Angeles, CA 90024

X Healthcare ExecutiveDavita

500.00 500.00

11/23/2015 Jonathan Lamb

Menlo Park, CA 94025

X AccountantApple

100.00 100.00

11/24/2015 Scott Mikels

Lake Balboa, CA 91406

X CFOMEND

500.00 1,000.00

11/25/2015 Phyllis Segal

Boston, MA 02116

X ExecutiveCivic Adventures

500.00 500.00

11/28/2015 Jane Freeman

Berkeley, CA 94705

X RetiredNone

500.00 500.00

2,100.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

14 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

11/30/2015 Ronald Abaro

Azusa, CA 91702

X DentistRonald Abaro

250.00 250.00

12/02/2015 Robin Barden

Plymouth, MN 55446

X DesignerPottery Barn

100.00 100.00

12/02/2015 D. Jason Lyon

Pasadena, CA 91106

X AttorneyLatham & Watkins LLP

100.00 100.00

12/03/2015 Fergus Carey

Philadelphia, PA 19147

X PublicanFergie's Pub

100.00 100.00

12/06/2015 Michael Goff

Santa Monica, CA 90402

X President/CEORustic Canyon Family ofRestaurants

1,000.00 1,000.00

1,550.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

15 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/08/2015 William Kobernusz

Sarasota, CA 34238

X RetiredNone

100.00 100.00

12/09/2015 Joseph Augenbraun

Berkeley, CA 94708

X CEOBizzy Robots

1,000.00 1,000.00

12/09/2015 Daniel T. Martinez

Baldwin Park, CA 91706

X OptometristDaniel T. Martinez, O.D.,Inc.

250.00 250.00

12/09/2015 Brian Yam

South Pasadena, CA 91030

X Concept DesignerAmazon

300.00 300.00

12/10/2015 Manuel Abascal

Altadena, CA 91001

X LawyerLatham & Watkins LLP

1,000.00 1,000.00

2,650.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

16 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/10/2015 Ken Meyer

Arcadia, CA 91006

X TeacherLAUSD

100.00 100.00

12/10/2015 Stedman Ng

South Pasadena, CA 91030

X Executive ManagementC Prime Inc.

100.00 100.00

12/14/2015 David Belden

Menlo Park, CA 94025

X ManagementGoogle

200.00 200.00

12/14/2015 Darrell Park

Altadena, CA 91001

X FounderBetter Than We Found It,PBC

6.00 48,018.00

12/15/2015 Matthew Allio

South Pasadena, CA 91030

X Educator/School DirectorWalden School

250.00 250.00

656.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

17 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/15/2015 Jermayne Shannon

Altadena, CA 91001

X RealtorSotheby's International

500.00 500.00

12/15/2015 Michael Shea

Woodbury, CT 06798

X RetiredNone

100.00 100.00

12/15/2015 Lyla White

Pasadena, CA 91106

X RetiredNone

1,000.00 1,000.00

12/17/2015 Gregory Hartmann

Manhattan Beach, CA 90266

X ExecutiveNational VeterinaryAssociates

1,500.00 1,500.00

12/17/2015 Emilie Hoyt

Pasadena, CA 91105

X BusinesswomanEmilie Hoyt

1,000.00 1,000.00

4,100.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

18 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/17/2015 Kurt Stammberger

San Francisco, CA 94114

X Consulting Chief MarketingOfficerConfyrm

500.00 500.00

12/17/2015 John Sutphen

Fayetteville, NY 13066

X ExecutiveO'Brien & Gere Limited

1,000.00 1,000.00

12/18/2015 Mark Krause

Pasadena, CA 91104

X AttorneyWarner Bros.

250.00 250.00

12/18/2015 Oscar B. Marx III

Santa Barbara, CA 93109

X RetiredNone

1,000.00 1,000.00

12/18/2015 Lorna A. Miller

Altadena, CA 91001

X RetiredNone

100.00 100.00

2,850.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

19 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/19/2015 John Drew

Frisco, TX 75034

X SVPSouthwest Airlines

500.00 500.00

12/20/2015 Mark Davis

Pasadena, CA 91104

X AttorneyLaw Offices of Mark Davis

1,000.00 1,000.00

12/21/2015 Kevin Baines

Pasadena, CA 91101

X Research ScientistCal Tech

100.00 100.00

12/21/2015 Howard Belzberg

Pasadena, CA 91106

X PhysicianHoward Belzberg

100.00 100.00

12/21/2015 Henry Denero

Pasadena, CA 91106

X Management ConsultingHenry Denero

1,500.00 1,500.00

3,200.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

20 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/21/2015 Enrique Arevalo Attorney At Law, APC

South Pasadena, CA 91030X

250.00 250.00

12/21/2015 Judy Felton

South Pasadena, CA 91030

X PresidentThe Espiscopal Network forStewardship

100.00 100.00

12/21/2015 Megan Hamilton

Pasadena, CA 91105

X RetiredNone

250.00 250.00

12/21/2015 Gabe Lopez

El Monte, CA 91731

X DeveloperGabe Lopez

250.00 250.00

12/21/2015 Kenneth Natori

New York, NY 10065

X Fashion Designer/ConsultantKenneth Natori

100.00 100.00

950.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

21 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/21/2015 Sally Park

Estes Park, CO 80517

X Not EmployedNone

700.00 700.00

12/21/2015 Joseph Zanetta

Altadena, CA 91001

X CEOCitrus Valley HealthFoundation

500.00 500.00

12/23/2015 Timothy Fisher

Pasadena, CA 91105

X AttorneySeyfarth Shaw LLP

500.00 500.00

12/26/2015 Carolee Bates

Hermosa Beach, CA 90254

X EngineerNorthrop Grumman

150.00 150.00

12/26/2015 Joseph Billock

Altadena, CA 91001

X Software EngineerGoogle

300.00 500.00

2,150.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

22 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/26/2015 Cathy Clement

La Canada, CA 91011

X RetiredNone

100.00 100.00

12/26/2015 Jamison Hebert

Los Angeles, CA 90042

X AdministrationAll Saint Church

100.00 100.00

12/26/2015 Wayne Park

Estes Park, CO 80517

X RetiredNone

500.00 1,000.00

12/27/2015 Catherine Dillavou

Altadena, CA 91001

X HousewifeNone

250.00 250.00

12/27/2015 John Dobbins

Pasadena, CA 91104

X Learning ResourcesSupervisorMoorpark College

100.00 100.00

1,050.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

23 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/27/2015 Nancy Go

Lexington, MA 02421

X Brand MarketingWayfair

250.00 250.00

12/28/2015 Albert Jones

Pasadena, CA 91105

X Associate ProfessorCSULA

500.00 500.00

12/28/2015 Peter Lee

San Francisco, CA 94107

X InvestorSentinel Rock Capitol

200.00 200.00

12/28/2015 Clarissa McPeck

Beverly Hills, CA 90211

X Real Estate InvestorCNC Group, LLC

1,500.00 1,500.00

12/28/2015 Gavin Newsom

San Francisco, CA 94123

X Lt. GovernorState of California

500.00 500.00

2,950.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

24 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/28/2015 Ralph Perry III

Los Angeles, CA 90014

X AttorneyRalph Perry III

100.00 100.00

12/28/2015 Daniel Povenmire

Beverly Hills, CA 90211

X Executive ProducerDautible Productions

1,500.00 1,500.00

12/28/2015 Diane Sutter

Encino, CA 91436

X BroadcastingKFWB Asset Trust

100.00 100.00

12/28/2015 Kent Thiry

Cherry Hills Village, CO 80113

X CEO/ChairmanDavita Inc.

1,000.00 1,000.00

12/28/2015 James Thomas

Pasadena, CA 91101

X RetiredNone

100.00 100.00

2,800.00

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Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

25 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/29/2015 Kirsten Harbers

Pasadena, CA 91105

X Not EmployedNone

500.00 500.00

12/29/2015 Reynolds Holmes

South Pasadena, CA 91030

X Director of EngineeringSolar City

500.00 500.00

12/29/2015 Cynthia Krumme

Estes Park, CO 80517

X RetiredNone

750.00 750.00

12/29/2015 Joanna McFarland

Los Angeles, CA 90041

X CEOHop Skip Drive

500.00 500.00

12/29/2015 Todd Nelson

Pasadena, CA 91104

X Television/Film ProducerBraska Films, Inc.

1,500.00 1,500.00

3,750.00

Page 26: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

26 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/29/2015 Chi Nguyen

Los Altos, CA 94024

X Director of MarketingNeuro Pace

200.00 200.00

12/29/2015 Ross Park

Boise, ID 83712

X AppraiserMartin & Park

100.00 200.00

12/30/2015 Michael Folgner

Hillsborough, CA 99401

X ManagerTwitter

200.00 200.00

12/30/2015 Jill Judd

Aptos, CA 95003

X Insurance AgentJill Judd

200.00 200.00

12/30/2015 Michele Morris

San Diego, CA 92124

X Executive ManagerUC San Diego

250.00 250.00

950.00

Page 27: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

27 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/30/2015 Chipper Pastron

Pasadena, CA 91107

X President/CEOMCC Hospitality Group

750.00 750.00

12/30/2015 Nancy Sarti

Sierra Madre, CA 91024

X Not EmployedNone

100.00 100.00

12/31/2015 Joseph Billock

Altadena, CA 91001

X Software EngineerGoogle

200.00 500.00

12/31/2015 Carly Broderick

Edina, MN 55435

X Talent ConsultingBrodstone Consulting Group

100.00 100.00

12/31/2015 Amanda Cutress.

Altadena, CA 91001

X Sportwear ManufactureRugby XV

500.00 500.00

1,650.00

Page 28: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

28 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/31/2015 Leslie Dawe

Denver, CO 80207

X Music TeacherLeslie Dawe

95.00 145.00

12/31/2015 Lisa A. Dawe

South Pasadena, CA 91030

X COOWestern Dental

500.00 1,500.00

12/31/2015 Nancy Denero

Pasadena, CA 91106

X RetiredNone

1,500.00 1,500.00

12/31/2015 Erin Dixon

Reno, NV 89511

X Public HealthErin Dixon

100.00 250.00

12/31/2015 EAST AREA PROGRESSIVE DEMOCRATS

Los Angeles, CA 90041X

250.00 250.00

2,445.00

Page 29: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

29 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/31/2015 Moe Gassama

South Pasadena, CA 91031

X CPAResources GlobalProfessionals

300.00 300.00

12/31/2015 Christian Glawe

Los Angeles, CA 90042

X Editor/Graphic DesignerIce Hat Creative

1,000.00 1,000.00

12/31/2015 Nancy Goodell

Pasadena, CA 91103

X Therapist/CoachNancy Goodell

500.00 500.00

12/31/2015 Molly Jones

Princeton, NJ 08540

X Non Profit ConsultantSprout Support

250.00 250.00

12/31/2015 Shawn Jones

Pasco, WA 99301

X RadiologistColumbia Basin Imaging

500.00 500.00

2,550.00

Page 30: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

30 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/31/2015 William Jones

Ivins, UT 84738

X RetiredNone

750.00 750.00

12/31/2015 Scott Mikels

Lake Balboa, CA 91406

X CFOMEND

500.00 1,000.00

12/31/2015 Larry Morrison

Pasadena, CA 91105

X Architect/PlannerThe Arroyo Group

250.00 250.00

12/31/2015 Tom Palacek

Atherton, CA 94027

X Investment ManagementSummit Travel Advisors

250.00 250.00

12/31/2015 Michael Palecek

Portland, OR 97214

X ManagementDavita

250.00 250.00

2,000.00

Page 31: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Page of

Amounts may be roundedto whole dollars.

NAME OF FILER

Schedule A (Continuation Sheet)Monetary Contributions Received

I.D. NUMBER

SCHEDULE A (CONT.)

Statement covers period

from

through

CALIFORNIAFORM 460

PER ELECTIONTO DATE

(IF REQUIRED)

CUMULATIVE TO DATECALENDAR YEAR(JAN. 1 - DEC. 31)

AMOUNTRECEIVED THIS

PERIOD

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTER NAMEOF BUSINESS)

DATERECEIVED

SUBTOTAL $

FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR( F COMMITTEE, ALSO ENTER I D. NUMBER)

CONTRIBUTORCODE *

*Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

INDCOMOTHPTYSCC

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

31 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

12/31/2015 Darrell Park

Altadena, CA 91001

X FounderBetter Than We Found It,PBC

28,000.00 48,018.00

12/31/2015 Alyssa Rapp

Winnetka, IL 60093

X EntrepreneurAlyssa Rapp

500.00 500.00

12/31/2015 Elsie Sadler

Pasadena, CA 91105

X RetiredNone

1,000.00 1,000.00

12/31/2015 SAN GABRIEL VALLEY AIRPORT ASSOCIATION

El Monte, CA 91731X

250.00 250.00

12/31/2015 Ross Walker

Danville, CA 94526

X Real Estate BrokerHawkins Way Capital

250.00 250.00

30,000.00

Page 32: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

IND COM OTH PTY SCC

Statement covers period

from

through

I.D. NUMBER

SCHEDULE B - PART 1

Amounts may be roundedto whole dollars.

Schedule B – Part 1Loans Received

Page of

SUBTOTALS $

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

CALIFORNIAFORM 460

$ $

IF AN INDIVIDUAL, ENTEROCCUPATION AND EMPLOYER

( F SELF-EMPLOYED, ENTERNAME OF BUS NESS)

INTERESTPAID THISPERIOD

CUMULATIVECONTRIBUTIONS

TO DATE

FULL NAME, STREET ADDRESS AND ZIP CODEOF LENDER

(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

ORIGINALAMOUNT OF

LOAN

OUTSTANDINGBALANCE

BEGINNING THISPERIOD

AMOUNTRECEIVED THIS

PERIOD

AMOUNT PAIDOR FORGIVENTHIS PERIOD

OUTSTANDINGBALANCE AT

CLOSE OF THISPERIOD

(b) (c) (e)

$

DATE INCURRED

(Enter (e) onSchedule E, Line 3)

CALENDAR YEAR

$

PER ELECTION

$

%RATE

$

*Amounts forgiven or paid by another party also must be reported on Schedule A.

** If required.

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.) ............................................................... NET $Enter the net here and on the Summary Page, Column A, Line 2.

(May be a negative number)

(a) (d)

$$

(f) (g)

PAID

$

FORGIVEN

$

$

DATE DUE

$

$

DATE INCURRED

CALENDAR YEAR

$

PER ELECTION

$

%RATE

$$$

PAID

$

FORGIVEN

$

$

DATE DUE

$

DATE INCURRED

CALENDAR YEAR

$

PER ELECTION

$

%RATE

$$$

PAID

$

FORGIVEN

$

$

DATE DUE

IND COM OTH PTY SCC

IND COM OTH PTY SCC

*

**

**

**

†Contributor Codes

IND – IndividualCOM – Recipient Committee

(other than PTY or SCC)OTH – Other (e.g., business entity)PTY – Political PartySCC – Small Contributor Committee

www.netfile.com

FPPC Advice: [email protected] (866/275-3772)www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

32 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

Darrell Park

Altadena, CA 91001

X

FounderBetter Than We Found It,PBC

0.00 20,000.00

0.00

0.00

20,000.00

06/30/2016 0.00

20,000.00

12/31/2015

48,018.00

20,000.00 0.00 20,000.00 0.00

20,000.00

0.00

20,000.00

Page 33: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

Schedule EPayments Made

Page of

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Amounts may be roundedto whole dollars.

I.D. NUMBER

Statement covers period

from

through

SCHEDULE E

RAD radio airtime and production costsRFD returned contr butionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

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 $

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

NAME AND ADDRESS OF PAYEE( F COMMITTEE, ALSO ENTER I D. NUMBER)

CALIFORNIAFORM 460

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

www.netfile.comwww.fppc.ca.gov

FPPC Form 460 (Jan/2016)

33 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

Secretary of State

Sacramento, CA 95814

OFC 50.00

GOULD & ORELLANA, LLC

Long Beach, CA 90802

PRO 750.00

Edward Grysiewicz

Newport Beach, CA 92660

WEB 500.00

1,300.00

8,274.20

60.17

0.00

8,334.37

Page 34: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contr butionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

34 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

Edward Grysiewicz

Newport Beach, CA 92660

WEB 1,641.00

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit Card Merchant Fee & Expenses 566.35

Edward Grysiewicz

Newport Beach, CA 92660

WEB 1,000.00

Basil Kimbrew

Moreno Valley, CA 92551

WEB 400.00

GOULD & ORELLANA, LLC

Long Beach, CA 90802

PRO 500.00

4,107.35

Page 35: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contr butionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

35 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

GOULD & ORELLANA, LLC

Long Beach, CA 90802

PRO 500.00

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit Card Merchant Fee Charges for returned checks 133.25

GOULD & ORELLANA, LLC

Long Beach, CA 90802

OFC 132.47

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit Card Merchant Fee & Expenses 108.75

Seaside Printing Company, Inc.

Long Beach, CA 90804

LIT 198.38

1,072.85

Page 36: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contr butionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

36 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit Card Merchant Fee & Expenses 243.98

GOULD & ORELLANA, LLC

Long Beach, CA 90802

PRO 500.00

Secretary of State

Sacramento, CA 95814

OFC 50.00

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit Card Merchant Fee & Expenses 279.46

GOULD & ORELLANA, LLC

Long Beach, CA 90802

OFC 124.78

1,198.22

Page 37: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID

SUBTOTAL $

Statement covers period

from

through

SCHEDULE E (CONT.)

Amounts may be roundedto whole dollars.Payments Made

SEE INSTRUCTIONS ON REVERSE Page of

I.D. NUMBER

NAME AND ADDRESS OF PAYEE(IF COMMITTEE, ALSO ENTER I.D. NUMBER)

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also be summarized on Schedule D.

RAD radio airtime and production costsRFD returned contr butionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contribution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

NAME OF FILER

www.netfile.com

Schedule E (Continuation Sheet)

www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

37 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

Edward Grysiewicz

Newport Beach, CA 92660

WEB 141.00

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit Card Merchant Fee & Expenses 454.78

595.78

Page 38: 460apps1.lavote.net/camp/Schedules/3498.pdf · Cover Page Part 2 460 5 Officeholder or Candidate Controlled Committee ... OR LETTER 7 Primarily Formed Candidate/Officeholder Committee

Statement covers period

from

through

I.D. NUMBER

SCHEDULE F

Schedule F Summary1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for

accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................ INCURRED TOTALS $

2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments onaccrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) .................................PAID TOTALS $

3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here andon the Summary Page, Column A, Line 9.) ................................................................................................................................................ NET $

Amounts may be roundedto whole dollars.

Page of

Schedule FAccrued Expenses (Unpaid Bills)

SEE INSTRUCTIONS ON REVERSE

NAME OF FILER

NAME AND ADDRESS OF CREDITOR(IF COMMITTEE, ALSO ENTER I D. NUMBER)

May be a negative number

$

CODE ORDESCRIPTION OF PAYMENT

(a)OUTSTANDING

BALANCE BEGINNINGOF THIS PERIOD

(b)AMOUNT INCURRED

THIS PERIOD

(c)AMOUNT PAIDTHIS PERIOD

(ALSO REPORT ON E)

(d)OUTSTANDING

BALANCE AT CLOSEOF THIS PERIOD

SUBTOTALS $ $$

CALIFORNIAFORM 460

CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.

* Payments that are contributions or independent expenditures must also besummarized on Schedule D.

RAD radio airtime and production costsRFD returned contr butionsSAL campaign workers’ salariesTEL t.v. or cable airtime and production costsTRC candidate travel, lodging, and mealsTRS staff/spouse travel, lodging, and mealsTSF transfer between committees of the same candidate/sponsorVOT voter registrationWEB information technology costs (internet, e-mail)

MBR member communicationsMTG meetings and appearancesOFC office expensesPET petition circulatingPHO phone banksPOL polling and survey researchPOS postage, delivery and messenger servicesPRO professional services (legal, accounting)PRT print ads

CMP campaign paraphernalia/misc.CNS campaign consultantsCTB contr bution (explain nonmonetary)*CVC civic donationsFIL candidate filing/ballot feesFND fundraising eventsIND independent expenditure supporting/opposing others (explain)*LEG legal defenseLIT campaign literature and mailings

FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)www.netfile.com www.fppc.ca.gov

FPPC Form 460 (Jan/2016)

38 38

01/01/2015

12/31/2015

DARRELL PARK FOR SUPERVISOR 2016 1380402

DAVID L. GOULD COMPANY MERCHANT ACCOUNT

Long Beach, CA 90802

OFC Credit CardMerchant Fee &Expenses

0.00 511.46 0.00 511.46

0.00 511.46 0.00 511.46

511.46

0.00

511.46