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CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Ken Dyda Recipient Committee COVER PAGE pType or print In ink. Date Stamp CALIFORNIA 460 Campaign Statement RECEIVED FORM Cover Page CITY 9F RANCHO PALOS V- _ _ (Government Code Sections 84200-84216.5) Page / of_a____ Statement covers period Date of election if applicable: from V) 6- fur)lki5 (Month, Day,Year) SEP 2 8 2015 For Official Use Only 11/3/20157 1/3/2015 ,._....--7.=...- . �..,---ti..-. -_- SEE INSTRUCTIONS ON REVERSE throng 1 '"''►�'' C; JRK'S 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: ❑ Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure ® Preelection Statement ❑ Quarterly Statement 0 State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report 0 Recall 0 Controlled 0 Termination Statement file a Form 410 Termination) El Supplemental Preelection (Also Complete Part 5) 0 Sponsored (Also Statement-Attach Form 495 (Also Complete Part 6) ❑ General Purpose Committee 0 Amendment(Explain below) 0 Sponsored El Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D u E 43 Treasurer(s) f COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER Committee to Support Ken Dyda for Council, 2015 David M. Koch MAILING ADDRESS STREET ADDRESS(NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE Rancho Palos Verdes CA 90275 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Rancho Palos Verdes CA 90275 None MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS None None CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE None None OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and t. _ = . knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of perjury un.=r the la,s of the State of California that the foregoi Treasurer Executed ; 2 / Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Type or print in ink. COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page--Part 2 Page 2 of..8____ 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE Ken Dyda None OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION 0 SUPPORT Councilmember, Rancho Palos Verdes None 0 OPPOSE RESIDENTIAUBUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder, candidate, or state measure proponent, if any. Rancho Palo: Verdes, CA 90275 NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees None not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. None COMMITTEE NAME I.D.NUMBER None NAME OF TREASURER CONTROLLED COMMITTEE? 7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s)or candidate(s)for which this committee is primarily formed. None 0 YES 0 NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 0 SUPPORT None Ken Dyda Councilmember 0 OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD None 0 SUPPORT ❑OPPOSE COMMITTEE NAME I.D.NUMBER None NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT 0 OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD None I: YES 0 NO 1:1 SUPPORT ❑OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) None CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary None FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) State of California Campaign Disclosure Statement Type or print in Ink. SUMMARY PAGE Amounts may be rounded atement covers period CALIFORNIA Summary Page to whole dollars. 460 ,9/11;16 - ugh 20 l FORM 15 Pa3 of_ 6 SEE INSTRUCTIONS ON REVERSE th NAME OF FILER I.D.NUMBER David M.Koch CCp,,,,,e,,,,..;)-igca 5„„)A 70,4 ce,,,,,f a� L J a j L. 1379423 Column A Column1B lendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTALTODATE Running in Both the State Primary and $1521 $1521 General Elections 1. Monetary Contributions Schedule A,Line 3 $ $ 2. Loans Received Schedule B,Line 3 1500 1500 WI through 6/30 7/1 to Date 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines 1+2 $ 3021 $ 3021 20. Contributions 0 3021 Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0 0 21.$3021 $ 0 $ 2016 Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ $ $3021 Made Expenditures Made Expenditure Limit Summary for State 6. Payments Made Schedule E,Line 4 $ $1980 $ $1980 Candidates 7. Loans Made Schedule H,Line 3 0 0 22.Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $1980 $ $1980 of Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 36 36 Date of Election Total to Date 10.Nonmonetary Adjustment Schedule C,Line 3 0 0 (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $2016 $ $2016 11 / 03 / 15 $ 2016 Current Cash Statement $ 12.Beginning Cash Balance Previous Summary Page,Line 16 $ 0 To calculate Column B,add 13.Cash Receipts Column A,Line 3 above 3021 amounts in Column A to the 0 corresponding amounts *Amounts in this section may be different from amounts 14.Miscellaneous Increases to Cash Schedule I,Line 4 from Column B of your last reported in Column B. 15.Cash Payments Column A,Line 8 above 1980 report. Some amounts in -- Column A may be negative 16.ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ figures that should be 1 subtracted from previous If this is a termination statement, Line 16 must be zero. ��7' period amounts. If this is the first report being filed 17.LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ 0 for this calendar year,only carry over the amounts frCash Equivalents and OutstandingDebts nm Lines 2,7,and 9(if q any). 18. Cash Equivalents See instructions on reverse $ 0 19. Outstanding Debts Add Line 2+Line 9 In Column B above $ $1536 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule A Type or print in ink. SCHEDULE A MonetaryContributions Received Amounts may be rounded S a eme t covers period CALIFORNIA to whole dollars. -1 )) 460 75j FORM fr 7 Vgr lb( of A SEE INSTRUCTIONS ON REVERSEthPage NAME OF FILER I.D.NUMBER David M. KochL72fA,..„,/ „ ) 2___ 1379423 ik 4_, r;,A.„ ) / DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (IF COMMITTEE,ALSO ENTER I.O.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) Mickey Rodich El IND Retired 8/612015 COWI $250 Rancho Palos Verdes, CA 90275 ❑OTH ❑PTY ❑SCC R. Gene Dewey 0IND Retired UNOCAL 8/20/2015 El OTH Rancho Palos Verdes, CA., 90275 ❑PTY ❑scc Sharon Yarber BIND ❑COM First American Title,Title 8/20/2015 ❑oTH insurance 250 Rancho Palos Verdes, CA., 90275 ❑PTY El SCC William Simpson IND Did not provide 9/15/2015 ❑COM information 100 Rancho Palos Verdes, 90275 ❑OTH ❑PTY ❑s.0g,2,4‘/ Minakshi Dahya 10 IND SDP Investments 9/15/2015 COM Hos itali 100 ❑OTH P tY Rancho Palos Verdes, CA., 90275 ❑PTY C.w d l'. .. 2_, :ism SUBTOTAL$ Rie,404 , Schedule A Summary *Contributor Codes 1. Amount received this period—itemized monetary contributions. IND-Individual (Include all Schedule A subtotals.) $ $800 Com-Recipient Committee (other than PTY or SCC) 2. Amount received this period—unitemized monetary contributions of less than$100 $ 721 OTH-Other(e.g.,business entity) PTY-Political Party 3. Total monetary contributions received this period. SCC-Small Contributor Committee (Add Lines 1 and 2.Enter here and on the Summary Page,Column A,Line 1.) TOTAL $ $1521 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in Ink. SCHEDULE B-PART 1 Schedule B—Part 1 t a be rounded Statement covers period Amounts may CALIFORNIA 460 Loans Received to whole dollars. // (/< fr ---8/6720TC FORM 9124/204-5--- SEE INSTRUCTIONS ON REVERSE J( rough Page of......E_ NAME OF FILER I.D.NUMBER David M. Kochil,f,_rii6;/: 4 ,.enj eagtiG ,,__2„2);)b zi..2-) 1379423 IF DIVIDUAL ENTER (e) (b) (c) (d (e) (f) (g)FULL NAME,STREET ADDRESS AND ZIP CODE O STANDING AMO T OUTSTA INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER NCE AMOUNT PAID BALANCE AT OF LENDER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (FF-EMPLOYED,ENTER BEGINNING THIS pER10D * CLOSE OF THIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD THIS PERIOD PERIOD Ken De Long Telecom, Retired ❑PAID CALENDAR YEAR $ 0 $ 500 0 a $ 500 $ Rancho Palos Verdes, CA.,90275 ❑FORGIVENRATE PER ELECTION* $ 0 $ 500 $ 0 11/30/2015 $ 0 8/22/2015 $ lig IND 0 COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED Mickey Rodich Retired 0 PAID CALENDAR YEAR $ 0 $ 500 0 % $ 500 $ Rancho Palos Verdes,CA.,90275 0 FORGIVEN RATE PER ELECTION** $ 0 $ 500 $ 11/30/2015 $ 0 8/22/2015 $ MND ❑COM 0 OTH 0 PTY 0 SCC DATE DUE DATE INCURRED Bill Patton Telecom, Retired 0 PAID CALENDAR YEAR $ $ 500 0 % $ 500 $ Rancho Palos Verdes, CA 90274 RATE 0 FORGIVEN PER ELECTION** $ 0 $ 500 $ 11/30/2015 $ 0 8/22/2015 $ t(IND 0 COM 0 OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ 1500$ 0 $ 1500 $ 0 (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received thisPe riod $ $1500 (Total Column(b)plus unitemized loans of less than$100.) tContributor Codes 2. Loans paid or forgiven this period $ 0 IND—IndividualCOM—Recipient Committee (Total Column(c)plus loans under$100 paid or forgiven.) (other than PTY or SCC) (Include loans paid by a third party that are also itemized on Schedule A.) OTH—Other(e.g.,business entity) PTY—Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ $1500 SCC—Small Contributor Committee Enter the net here and on the Summary Page,Column A,Line 2. (May beenegative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. **If required. FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Type or print in ink. SCHEDULE E Schedule E St tement covers period CALIFORNIA 460 Made Amounts may d rounded Payments to whole *7// 5 FORM fr cJ'>b.0 o SEE INSTRUCTIONS ON REVERSE through 91 r 6 Page of e7 NAME OF FILER I.D.NUMBER David M. KO 7Wikt C 219 1379423 CODES: If o e of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CVP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging,and meals ID independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services(legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(Internet,e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Rancho Palos Verdes Ken Dyda filing fees FIL $600 Postmaster 100 postage stamps POS $49 CA Secretary of State State filing fee for ID number FIL $50 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $699 Schedule E Summary 1. Itemized payments made thisperiod.(Include all Schedule E subtotals.) $ $1980 py 2. Unitemized payments made this period of under$100 $ 0 3. Total interest paid this period on loans.(Enter amount from Schedule B,Part 1,Column(e).) $ 0 4. Total payments made thisperiod.(Add Lines 1,2,and 3.Enter here and on the Summary Page,Column A, Line 6.) TOTAL $ $1980 P y FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) Schedule EType or print in ink. SCHEDULE CHEDULE E(CONT.) Statement covers period (Continuation Sheet) Amounts may be rounded CALIFORNIA 460 P ay a is m n M to whole dollars. 7/1/m/i. '"' j sus/ FORM ade 9./thig -- 9/24/2015 G SEE INSTRUCTIONS ON REVERSE Page of_ d NAME OF FILER ZI.D.NUMBER 0, � �� „spizi ".....4:,)David M. KochLia.4.442:07147 /e? off,,,z, 01379423 CODES: If one of the following codes accurately cribes the payment, u ay enter the code. Otherwie, describe thayment. CMP campaign paraphernalia/misc. MBR member mm ications RAD radio airtime and production costs CNS campaign consultants MFG meetings appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FL candidate filing/ballot fees P1-10 phone banks TRC candidate travel,lodging,and meals FIND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(internet,e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID (IF COMMITTEE,ALSO ENTER I.D.NUMBER) Campaign LA(printer) Lawn Signs CMP $1,200 Bill Patton/Kinkos 50 two sided brochures LIT $82 *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ $1,282 FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/275-3772) SCHEDULE F Schedule F Type or print in ink. Amounts maybe rounded S tement covers peri C A L I F O R N I A 460 Accrued Expenses (Unpaid Bills) to whole dollars. ,.��, 5 - FORM J5 15 SEE INSTRUCTIONS ON REV-RSE th gh Page o NAME OF FILER I.D.NUMBER David M.Koch ( ---c;;Pdl// i'\(eA---L 1379423 Af CODES: If one • , e following codes accurately d bes the p yment, you may enter the code. Otherwise, describe/// Ze/ a payment. CivP campaign paraphemalia/misc. MBR member commu ications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v.or cable airtime and production costs FL candidate filing/ballot fees PHO phone banks TRC candidate travel,lodging,and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IC independent expenditure supporting/opposing others(explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs(Internet, e-mail) (a) (b) (c) (d) NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING (F COMMITTEE,ALSO ENTER I.D.NUMBER) DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD (ALSO REPORT ON E) OF THIS PERIOD David M.Koch CMP $36 $36 0 36 Rancho Palos Verdes,CA 90275 a Payments that are contributions or Independent expenditures must also be SUBTOTALS$ $36 $ $36 $ 0 $ $36 summarized on Schedule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b)subtotals for $36 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 on 0 accrued 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 and $36 on the Summary Page, Column A, Line 9.) NET$ May be a negative number FPPC Form 460(January/05) FPPC Toll-Free Helpline:866/ASK-FPPC(866/2754772)