CA Form 460 Recipient Committee Termination Campaign Statement (Oct - Dec 2019) Ken Dyda COVER PAGE
Recipient Committee Date Stamp
CALIFORNIA
Campaign Statement RECEIVED FORM 46Q
Cover Page CITY OF RANCHO PAL,OS VE l
Statement covers period Date of election if applicable: Page of
(Month, Day,Year) DEC 2 3 2019 For Official Use Only
from 1® ')-04 �'®'c1 _
I Z ' 3 ` J z0 i`� r �- os 'd1`� CLERK'S
SEE INSTRUCTIONS ON REVERSE
through
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
v Dei FDtz... AA.-/QC--tkRik iz S U e2Z el G -Ol 14,,E I Y 6
MAILING ADDRESS
STREET ADDRESS(NO P 0 BOX) CITY STATE' ZIP CODE AREA CODE/PHONE
.. la-,+l(A0 'c.47$ LA— ! S Cock q'-7.5 3.o cr.), .3 a 7
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER,IF ANY
kiAt j�t 4., PA-to Lit0.40—s CA '10 i a .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
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 CALIFORNIA460.
+,
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
av \i
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO OR LETTER JURISDICTION ❑ SUPPORT
C11 1 L. !`.'C.i40 Pe`l� El 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.
® PA-Los Venue-, 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
El SUPPORT
❑ OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE'? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ YES ❑ NO ❑ 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 2--31 -2.„...)i ei Page3of
through
SEE INSTRUCTIONS ON REVERSE 9
NAME OF FILER I D NUMBER
0`1 Ott F-b a. g t, pi�s U Jr e s e c-t-/ � CAL
I'12. ii95
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 $ 112° $ b oY 0
1/1 through 6/30 7/1 to Date
0 2. Loans Received Schedule B,Line 3
3 SUBTOTAL CASH CONTRIBUTIONS . .. _, 1�o Add Lines 1+2 $ $ (. 1341a 20 ContributionsReceived $ $
4. Nonmonetary Contributions . . ... Schedule C,Line 3 0 21 Expenditures
V Add Lines 3+4 Goo
$ 1., , 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 levutl-j 22. Cumulative Expenditures Made*
8 SUBTOTALC
ASH 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 71-
_____i____I $
Current Cash Statement 1 $
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 4 amounts 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 460from /0''.*-`" '" 19 FORK,..
through 12 3 1 u ZQ 1 4/ Page 4 of '6'SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I D NUMBER
D Y DA 'Fog_ a A Niic-140 PA Le S Le--(2z 6-5 C.-Cr"1 C....e tdA,C1(.... 20 i 47
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)
SD
I /2.0 keel ❑
com
, ❑OTH
riA rvud-, CA Ci 1 3 S ❑PTY
❑5CC
RIND (Z-6-n '� L�0 V y�0 10 /3o/7.oi a! &Cdt, ,I. //
' _L Y� V% 00-1. `y ❑COM
` ❑OTH
'�AL PA IJe I-S, CA 9'u 27S ElPTY
❑SCC
IND
It /0 1 /2-00 ki'A TH ez.Ni A) ,T A LAI i A) 6-0&-e--ar-,,A)
❑COM
`- ❑OTH
RA/1/4,fr1-b PA 1,0 S to%I.r S i CA a!ex?r ❑PTY
❑SCC
I4' Lot, 3"-owQ, 4- ;INA,tA43- Co LA C.APt TAO i-r alND
❑COM P-e-na-0---0 v-Sco 0 go0
� ❑OTH
ILA".'11.0 'k.o> V1006‘,$, CA o1-7.5 ❑PTY
❑SCC
12- 1*lUie, tZ464C;i P S VeVille LCAAelt CR 4> 0 IND sot, co 57 3,SJ0
6''''"+ ' re- (.DAiCr POI Al Q 'T4,P it^e s. n'�OT H
COM
,o7 / ❑SCC
SUBTOTAL$ 3�,`7 00
Schedule A Summary *Contributor Codes
1. Amount received this period-itemized monetary contributions IND-Individual
3
(Include all Schedule A subtotals.) $ , 1 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 SummaryColumn A, Line 1. ..
Page,9 � ). 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 /° 2' 19 . FORM
- 11 - 2--,( S g
SEE INSTRUCTIONS ON REVERSE through Page of
NAME OF FILER I D NUMBER
1) `�� )�d2 119 S
Y rc.- I9
IF AN INDIVIDUAL ENTER (a) (b) (c) (d) (e) (f) (g)
FULL NAME,STREET ADDRESS AND ZIP CODE OUTSTANDING AMOUNT AMOUNT 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 A-e--n n JORI.PAID ,i CALENDAR j YEAR
ge ot,..-
- $ 5,ou $ p 9 $ $
aAA ja P 1 t rmer CA IDFORGIVEN RATE PER ELECTION**
91.12-1S" $ 5, 0 $ $ $ $ Si,�v�
t l.IND ❑ COM ❑ OTH ❑ PTY ❑ SCC DATE DUE DATE INCURRED
❑ PAID CALENDAR YEAR
$ $ % $ $
RATE
❑ FORGIVEN PER ELECTION**
$ $ $ $ $
t❑ IND ❑ COM ❑ OTH 0 PTY El 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.) cone-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 i 0 2,0 Z/1 FORM
from
/1- ;/ • L14147 of
SEE INSTRUCTIONS ON REVERSE through Page
NAME OF FILER I D NUMBER
bA FLpxt4 PkJ -- er ,)^,ciL Z-0i ) ) '12 // 95
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
- Tr-)L t.^J(.7 AA/A6 C-rit-re—,1-1 e-A13 r-e-6'
�.� �.--,�aer, Cam. 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 Page, Column A, Line 6. ... TOTAL `3o3. /,
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary ) $
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov