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