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CA Form 460 Recipient Committee Termination Campaign Statement (Oct - Dec 2019) Ken Dyda
COVER PAGE Recipient Committee Date Stamp CALIFORNIA Campaign Statement RECEIVED FORM 460 Cover Page CITY OF RANCH©PAhOS VE. ,,_ - , Statement covers period Date of election if applicable: Page of (Month, Day,Year) DEC 2 3 2019 For Official Use Only from )® ')-04 �'®'c1 _ SEE INSTRUCTIONS ON REVERSEl - 35CITY CLERK'S OFFICE throu h 9 1. Type of Recipient Committee: All Committees—Complete Parts 1,2,3,and 4. 2. Type of Statement: Of. Officeholder,Candidate Controlled Committee Cl Primarily Formed Ballot Measure El Preelection Statement El Quarterly Statement O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report O Recall 0 Controlled 125k 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 0 Political Party/Central Committee (Also Complete Part 7) 3. Committee Information I D NUMBER Treasurer(s) 1 �� i t4S° COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER DV D1 FD6-1 ia S 1.1c-az el C crti C4) A)c iL `7 14,,E 1 Y 6 MAILING ADDRESS 3)36 O cA-S%(IA.)" of.),/. STREET ADDRESS(NO P 0 BOX) CITY STATE' ZIP CODE AREA CODE/PHONE 3 086 0 C.-A ►C.t"I'1 ©/L.. -,+-1 f.*4o Poll1.47$ U�—" ! S C-i q'-75 3.0 5►,)Q 3 a 7 CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY kiAt j�t4., PA-to Lit0.40—s CA q0275. 3'c' clot 3J2"7 r 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 informatio 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 ‘-2--7.- - i ti AW1 -/,... Executed on By Date S ature• Treasurer or Assistant Treace,rer I Z-7. S'-'. + e7 /I !� •• ,,> `, Executed on By •' ' Date Sig ,• •Officehol•=r,Cane,State --..re Proponent 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(866/275-37- . COVER PAGE-PART 2 Recipient Committee CALIFORNIA4613. +, Campaign Statement -FORM Cover Page — Part 2 Page__2 of 47 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE ke-tv 0\i OA OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT CO 1 L !`.'C.i40 Pe`l� ❑ OPPOSE 1 C.®v�c� V� RESIDENTIAL/BUSINESS ADDRESS (NO AND STREET) CITY STATE ZIP Identify the controlling officeholder,candidate,or state measure proponent,if any. S-7 d 5 CAPE->uo.,34N pa® PAtos Venue-s` CA- 902-7 5 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 STREETADDRESS (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 ❑ YES ❑ NO CI SUPPORT ❑ OPPOSE COMMITTEE ADDRESS STREETADDRESS (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. Statement covers period CALIFORNIA Summary Page ' from /0 2'''') 2—)S ' FORM 5 1 Z-31 -2-)i ei Pageof through SEE INSTRUCTIONS ON REVERSE 9 NAME OF FILER I D NUMBER 0`1®'1 F-btt ( t, piers (Jr e eti � ,) C' i 437 IL2 �i95 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 General Elections 1. Monetary Contributions .. • ... .. Schedule A,Line 3 $ .-le° $ b oY 0 1/1 through 6/30 7/1 to Date 0 2. Loans Received Schedule B,Line 3 3 SUBTOTAL CASH CONTRIBUTIONS . .. _, i 390 � es fa 20 Contributions Add Lines 1+2 $ $ Received $ $ 4. Nonmonetary Contributions . . ... Schedule C,Line 3 0 21 Expenditures V Add Lines 3+4 Goo $ V° Made $ $ 5. TOTAL CONTRIBUTIONS RECEIVED $ Expenditures Made _..,�-. , Expenditure Limit Summary for State Y 6 Payments Made .. Schedule E,Line 4 $ 30 $ t' `� ,� - Candidates 7. Loans Made . . . . . . Schedule H,Line 3 0 es i lCetfutl--c 22. Cumulative Expenditures Made* 8 SUBTOTALCASH PAYMENTS Add Lines 6+7 $ ` $ (If Subject to Voluntary Expenditure Limit) 9 Accrued Expenses (Unpaid Bills) . Schedule F,Line 3 6 Date of Election Total to Date 10. Nonmonetary Adjustment Schedule C,Line 3 16 (mm/dd/yy) 11 TOTAL EXPENDITURES MADE Add Lines 8+9+10 $ $ 6 (6 v a 7 I- _____i____I $ Current Cash Statement $ 12 Beginning Cash Balance . . Previous Summary Page,Line 16 $ I I v • )C). To calculate Column B, 13. Cash Receipts . . Column A,Line 3 above , 3 Do , 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 4amounts from Column B l ci reported in Column B 15. Cash Payments . . . . .. . . . . Column A,Line 8 above ;03 of your last report Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines 12+13+14,then subtract Line 15 $ V 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 0 filed for this calendar year, 17. LOAN GUARANTEES RECEIVED .. .. . .. Schedule B,Part 2 $ only carry over the amounts Cash Equivalents and Outstanding Debts from Lines 2,7,and 9(if any). See instructions on reverse $ 0 18. Cash Equivalents 19 Outstanding Debts . . Add Line 2+Line 9 in Column B above $ 5°(r 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 /0''.*-`" '" 1 9 FORM.,. through 12 3 1 u 2--Q14/ Page 4 of '6' SEE INSTRUCTIONS ON REVERSE NAME OF FILER I D NUMBER D1DA 'Fog_ /L A PA Lo S Lenze 5 cr Cr" 'e ' i 4 DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION (IF COMMITTEE,ALSO ENTER I D NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED CODE * (IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN 1-DEC 31) (IF REQUIRED) OF BUSINESS) SIELl -rnA I xrrt 0.IND/2.0COM �� �0 1/ 2-5-0 si SD I� keel ❑ �35A �"v�ge- 0a, ❑OTH riA rvud1-, CA Ci 1°13 S ❑PTY ❑SCC &Cdt, ND ? T'iC .0 o i a! ,I. L Yi//V% Od'1'`' `y ❑C O M ` 0 CY-1 LA/Y e-6T 64 ❑OTH AL ()4 IJP I-S, CA %),27s 0 PTY '� ❑SCC It /2-00 �-`7 ,r ®6.6-f�"r`.a IND 14-T-14.0---.6 4, L So 7 2-6 c) ❑COM Sl DC A-A' C Oa`- ❑OTH RA/1/4ifr-b PA 1,0$ ker S , CA a!erx?s- 0 PTY ❑SCC I4' Lot, 3"-owQ, 4- ;INA,tA43- C,0 LA CAPt TAO i-r alND ❑COM P---6-na-c711) 9'54;0 0 goo Cial UAmbe- L4-`,P Q 1,' ❑OTH ILA".'11.0 'k.o> V1006‘,$, CA 'x®1'7.5 0 PTY ❑SCC 12- 1*lUie, tZ464C;i P S ve oe4 Cii 4> 0 IND sot, co 3,Soo n COM LAA... 14 1(4 ❑OTH SIS S, Ft( '-t 40A sle- Ito 0 PTY 5 ( l'i'$I(A 4,o7 / 0 SCC SUBTOTAL$ 3�,`7 0� Schedule A Summary *Contributor Codes 1. Amount received this period-itemized monetary contributions IND-Individual 3 (Include all Schedule A subtotals.) $ 11 D® COM-Recipient Committee (other than PTY or SCC) 2 Amount received this period- unitemized monetary contributions of less than $100 $ 9' 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 SummaryPage, Column A, Line 1. .. ). TOTAL $ 3) -7 ®V 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 /0 '9 . FORM - 11 - 2--,( S g SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I D NUMBER )4 2 1 I 9 s 0 Y I9 IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (f) (g) FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNTAMOUNT PAID OUTSTANDING INTEREST ORIGINAL CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE,ALSO ENTER I D NUMBER) (IF SELF-EMPLOYED,ENTER BEGINNING THIS OR FORGIVEN CLOSE OF THIS NAME OF BUSINESS) PERIOD PERIOD THIS PERIOD* PERIOD PERIOD LOAN TO DATE I' "a 0 n.���� PAID ,i CALENDAR YEAR jQ-�--,�,�r� s, 5, 5-?1s- ( pc at-v. )6 DI- $ 5,0u $ p 9 $ $ AA ��(;e P 1 t rmer V! IDFORGIVEN RATE � PER ELECTION** 91.12-1S- Si 5, 0 $ $ $ $ �,Oa.? t l.IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** $ $ $ $ $ t❑ IND ❑ COM 0 OTH 0 PTY 0,SCC DATE DUE DATE INCURRED ti SUBTOTALS $ 11 $' 5100.3 $, K $ Or (Enter(e)on Schedule B Summary Schedule E,Line 3) 1. Loans received this period $ i' (Total Column (b) plus unitemized loans of less than $100 ) tContrlbutor Codes Si 00 2. Loans paid or forgiven this period . .. ..... ... . ...$ , IND—Individual (Total Column (c) plus loans under$100paid or forgiven.) COM—Recipient Committee g ) (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 ......- 5 3. Net change this period (Subtract Line 2 from Line 1.) .... NET $ OL" 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 SCHEDULE E Schedule E Amounts may be rounded Statement covers period to whole dollars. CALIFORNIA. 460 , Payments Made / 0 7,0 z-4.;./1 FORM from /1- ;/ . L14147 of SEE INSTRUCTIONS ON REVERSE through Page NAME OF FILER I D NUMBER bA �� C.,),)^,ciL moi ) ) '12 // 95 t .� �� C.�°T� 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 14,6-60\.) 0\1 k0/1/4 'F i f ,,G.' 1t0/'1-%-1 w1 6 r C .°1.0 —s 3s)3. 1 `i E'7 15 CA-Pe S'" "1.2'D 41 °II- Tr-)L t.^J(.7 AA/A6 C-rn-rL"-fe-A13 r-e-6' �.� �.--,�a Com. q0�. .� pp,�� �� �,�� � *Payments that are contributions or independent expenditures must also be summarized on Schedule D SUBTOTAL$ Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.).... . ... . . . $ ' 0 2. Unitemized payments made this period of under$100 $ 16 pY Schedule B Part 1, Column e . $ P 3. Total interest paid this period on loans. (Enter amount fromSc e ule ,, ( ) ) mm Column A, Line 6. ... TOTAL `3o3. /, 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, ) $ FPPC Form 460(Jan/2016) FPPC Advice:advice@fppc.ca.gov(866/275-3772) www.fppc.ca.gov