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CA Form 460 Recipient Committee Preelection Campaign Statement No. 1 - Ken Dyda COVER PAGE Recipient Committee REcErVED CALIFORNIA 460 Campaign Statement FORM Cover Page CITY sr RANCHO PALOS VCR 6 Statement covers period Date of election if applicable: SEP 2 6 2019 Page 1 of JPg.. ��_ 0' �,20 rat (Month, Day,Year) For Official Use Only from ITY CLERK'S OFFICE through SEE INSTRUCTIONS ON REVERSE 0 ct-21— I i r 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: K. Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure IS Preelection Statement ❑ Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report Q Recall 0 Controlled ❑ Termination Statement (Also Complete Part 5) 0 Sponsored (Also file a Form 410 Termination) • (Also Complete Part 6) ❑ General Purpose Committee ❑ Amendment(Explain below) O Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee Q Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I.D.NUMBER D. S' Treasurer(s) COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER DMDA FOr, I�'�A/J04 O rA LS L �fai%S CITY oU ti CA c. 24 1sn--(51-W -r1 r MAILING ADDRESS 3o86o CAS iLA/1/4rA i.2 . 31a o! J 2-7 STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE 3oB CA S j L 1 A o2_ . RAfr%)CM) PA t.v$ (/6&Aa 5) CA 90 4'75' CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY RA Ai C't PALo V ErCbe 5 ( 102,7 5 3ta of 302-"7 MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS . CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE 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 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 corre OCI- )-5-- 2_0 ( 1—; Executed on By Date ---4, = reg orAssi_:nt Tr-asure 0� 2-5 Jac, Executed on By Date Signature of ontrolling Officeholder,Candi'. : tate Measure' •ponent or Responsible Officer of Sponsor Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent Executed on By Date Signature of Controlling Officeholder,Candidate,State Measure Proponent FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) COVER PAGE-PART 2 Recipient Committee CALIFORNIA 460 Campaign Statement FORM Cover Page — Part 2 Page 2' of 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE e f ) D' bA OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑ SUPPORT T cout0 (Zi; Jci4 o pel LoS e $ ❑ OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO.AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. E7 15 Citl Pe S t,��:��� otz . aAiuc,i-1/40 pro-as ()U—r T(c% c NAME OF OFFICEHOLDER,CANDIDATE,OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive OFFICE SOUGHT OR HELD DISTRICT NO.IF ANY contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D.NUMBER 7. Primarily Formed Candidate/Officeholder Committee List names of NAME OF TREASURER CONTROLLED COMMITTEE? officeholder(s)or candidate(s)for which this committee is primarily formed. ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE COMMITTEE NAME I.D.NUMBER NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD 11 YES ❑ NO SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE to whole dollars. Summary Statement covers period CALIFORNIA Page _ - °► FORM 460 from 0 I d t 2 through 01-IA -2-Ol 9 Page of SEE INSTRUCTIONS ON REVERSE g NAME OF FILER I.D.NUMBER " i 2-I 1945 D‘i OA Poi1- aPt 1 � �A�s / fZd $ c-rr�► c,,�ry sic. �1 g Column A Column B Calendar Year Summary for Candidates Contributions Received TOTAL THIS PERIOD CALENDAR YEAR (FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and ry -35s 2.'f General Elections 1. Monetary n to Contributions Schedule A,Line 3 $ f q�' $ I 46 s ' 0�v 1/1 through 6/30 7/1 to Date 2. Loans Received Schedule B,Line 3 1� 0 0�~ •1 1+2 ` �� , Z� t t Y�, t� 20. Contributions 3. SUBTOTAL CASH CONTRIBUTIONS Add Lines $ j $ Received $ $ 4. Nonmonetary Contributions Schedule C,Line 3 0 0 21. Expenditures 5. TOTAL CONTRIBUTIONS RECEIVED Add Lines 3+4 $ 14 • 2...r. $ s / Y 6- 2f Made $ $ Expenditures Made15. Expenditure Limit Summary for State 6. Payments Made Schedule � �5 $6W Li 17 Candidates E,Line 4 $ 7. Loans Made Schedule H,Line 3 0 0 �6 'I" 4,16 L��� 22. Cumulative Expenditures Made* 8. SUBTOTAL CASH PAYMENTS Add Lines 6+7 $ $ (If Subject to Voluntary Expenditure Limit) 9. Accrued Expenses (Unpaid Bills) Schedule F,Line 3 l� v Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 tp Cs (mm/dd/yy) 11. TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $ ‘16_ 4, Current Cash Statement $ 12. Beginning Cash Balance Previous Summary Page,Line 16 $ 0 To calculate Column B, 13. Cash Receipts Column A,Line 3 above 1 it'', Z add amounts in Column A to the corresponding *Amounts in this section may be different from amounts 14. Miscellaneous Increases to Cash Schedule I,Line 4 0 , amounts from Column B reported in Column B. 15. Cash Payments Column A,Line 8 above La. z) of your last report. Some ‘.v amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ 1 i / °()- be negative figures that should be subtracted from If this is a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED Schedule B,Part 2 $ U filed for this calendar year, only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if � any). 18. Cash Equivalents See instructions on reverse $ 19. Outstanding Debts Add Line 2+Line 9 in Column B above $ C) FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to whole dollars. Statement covers period Monetary Contributions Received CALIFORNIA 460 from 01 -'01 ` m-1)1°r FORM through Oq 1 Page y of 10_t-/- _ SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D.NUMBER D (OJ Pal RNJC44 PAt.o C/TY C,ov►Oc i L Z,,) I g NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATECONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED) OF BUSINESS) atND 2O( k /\J Ot�A � c . ' /La.) - 3Q S ❑COM Si (S CA Pivj,© an- ❑OTH .1^�C� C� ? -z.75 ❑PTY Pict, PftLof V ❑SCC Th4t TWBIND .n �,,. � �C'� C f,�. Z S` .1� 9,4 2. S� t7 6 - S` °1'17-2,01, ,� -fit, 1=1 COM 13960 eA s iL,AdA M ❑OTH 0.4")C4o p 4 L3 V irk es, CA 2 75' ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC ❑IND El COM ❑OTH ❑PTY ❑SCC ❑IND ❑COM ❑OTH ❑PTY ❑SCC SUBTOTAL$ zS Schedule A Summary *Contributor Codes 1. Amount received this period —itemized monetary contributions. 5 IND—Individual (Include all Schedule A subtotals ) . It/G• COM—Recipient Committee (other than PTY or SCC) 2. Amount received thiseriod—unitemized monetary contributions of less than $100 $ OTH_Other(e.g.,business entity) p PTY Political Party 3. Total monetary contributions received this period. ki ` z s' SCC—Small Contributor Committee (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) TOTAL $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts may be rounded SCHEDULE B-PART 1 Schedule B — Part 1 to whole dollars. Statement covers period CALIFORNIA 460 Loans Received from d r-V 1 -Zv)4 FORM tact--2-1 -')-o i'', C C SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D.NUMBER OM M1A FP '-oS (16-12.6 el CA T) C.") NA t 1 L2-.0 t 51 (f z-I� ( 9 S IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (t) (g) FULL NAME,STREETADDRESS AND ZIP CODE OUTSTANDING AMOUNT OUTSTANDING INTEREST ORIGINAL CUMULATIVE OCCUPATION AND EMPLOYER BALANCE AMOUNT PAID BALANCE AT OF LENDER ENTER RECEIVED THIS OR FORGIVEN PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I.D.NUMBER) (IF SELF-EMPLOYED, BEGINNING THIS CLOSE OF THIS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE 14,670 Oh(41A 1' c 71 /2-6-6 ❑ PAID CALENDAR YEAR Pe S ig O Q a $ 0 $ 1 V J J % $1, u 0.1 $ t) 4,v-) g-7RATE ** p-Not° pits e-acr Cly E1 FORGIVEN PER ELECTION 1 al 7 S 00 1 ow (7 11-0C1•24,,, J e'-2.47i 0,9 J $ $ $ $ $ TO.IND ❑ COM ❑ OTH El PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE El FORGIVEN PER ELECTION** $ $ $ $ $ tEl❑ IND El COM El OTH ❑ PTY El SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED SUBTOTALS $ I� .o,) $ $ t) 00.3L')$ (Enter(e)on Schedule B Summaryti Schedule E,Line 3) • 1. Loans received this period $ /) 0,..0 (Total Column (b) plus unitemized loans of less than $100.) tContributor Codes 2. Loans paid or forgiven this period $ 0 IND—Individual (Total Column cplus loans under$100paid or forgiven.) COM Recipient Committee ( ) 9 ) (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) I ��� PTY_Political Party 3. Net change this period. (Subtract Line 2 from Line 1.) NET $ , SCC Small Contributor Committee Enter the net here and on the Summary Page, Column A, Line 2. (May be a negative number) *Amounts forgiven or paid by another party also must be reported on Schedule A. FPPC Form 460(Jan/2016) **If required. / FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov Amounts maybe rounded SCHEDULE E Schedule E Statement covers period to whole dollars. CALIFORNIA 460 Payments Made0 i _0 , —2�, FORM from through0et-.24 - Zaig Pae ei of I) SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I.D.NUMBER 1) 0A el)a- A Lo S 1i2 $ C IT1( Gov A/c.It L Zo t ay CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution(explain nonmonetary)* OFC office expenses SAL campaign workers'salaries CVC civic donations PET petition circulating 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 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 (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID & t:rO ( ); LI 6 , 15- Po sPo s .7.-- 1.2-.5- 14 A-k"P"rli 0&Iv%IT- ac,,,D Psed\Nce CA °705;)s *Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ it , 2$ Schedule E Summary (Include all Schedule E subtotals. n, 1. Itemized payments made this period. ) $ 9 6. 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).) $ 1' 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) TOTAL $ y6., "- FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov