HomeMy WebLinkAbout2018.11.20_Goldman_Jan_Form 460Recipie..L Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from /0 —020—1
through / I — 13— / o
Date of election if applicable:
(Month, Day, Year)
NOV (o / r-U i g
Date Stamp
RECEIVED
City of Morro Bay
NUU j 2018
City Clerk
Page 1 of
ER PAGE
For Official Use Only
1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4.
XI Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure
O State Candidate Election Committee Committee
O Recall 0 Controlled
0 Sponsored
(Also Complete Part 6)
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part 7)
(Also Complete Part 5)
❑ General Purpose Committee
O Sponsored
O Small Contributor Committee
O Political Party/Central Committee
2. Type of Statement:
❑ Preelection Statement
O Semi-annual Statement
Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
0 Quarterly Statement
❑ Special Odd -Year Report
3. Committee Information
D. NUNIBER
1 /QQ1 (;
COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE)
CITY STATE ZIP CODE
1tor-ro ')a LA- ` 3yf /2
MAILING ADDRESS (IF DIFFER NT) NO. AND STREET OR P.O. BOX
CITY
STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX / E-MAIL ADDRESS
Treasurer(s)
NAME OF TREASURER
MAILING ADDRESS
CITY
Mar,~d v 0 A- 9'34V2-
NAME OF ASSISTANT TREASURE , IF ANY
MAILING ADDRESS
CITY
STATE ZIP CODE
AREA CODE/PHONE
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 un r the laws of the State of California that the foregoing is true
Executed on
( /I Date f(
Executed on i" O `, ( V
Date
Executed on
Date
Executed on
Date
By
By
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
surer
e Proponen
or Respons
ble Officer of Sponsor
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (366/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Go 1 ci nc
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
6. Primarily Formed Ballot Measure Committee
Lt f C__6u a rro 3a% C,'fi
RommimiCCIrICAITIAI /DI la,11,1COC A Mr, OCCO Y STATE ZIP
M rro Bay C!q-G3W-2--
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
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURER
CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY
STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER
JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD
DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
• SUPPORT
• OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
• SUPPORT
• OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
• SUPPORT
• OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD•
SUPPORT
• OPPOSE
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
Summary Page
SEE INSTRUCTIONS ON REVERSE
NAMEOF FILER
1_1 Oil 6 o vykail
Contributions Received
1. Monetary Contributions
2. Loans Received
3. SUBTOTAL CASH CONTRIBUTIONS
4. Nonmonetary Contributions
5. TOTAL CONTRIBUTIONS RECEIVED
Expenditures Made
6. Payments Made
7. Loans Made
8. SUBTOTAL CASH PAYMENTS
9. Accrued Expenses (Unpaid Bills)
10. Nonmonetary Adjustment
11. TOTAL EXPENDITURES MADE
Current Cash Statement
12 Beginning Cash Balance
13. Cash Receipts
14. Miscellaneous Increases to Cash
15. Cash Payments
16. ENDING CASH BALANCE
Amounts may be rounded
to whole dollars.
(Metvtoil 020 l g
Column A
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
Schedule A, Line 3
Schedule B, Line 3
Add Lines 1 + 2
Schedule C, Line 3
Add Lines 3 + 4
Schedule E, Line 4
Schedule H, Line 3
Add Lines 6 + 7
Schedule F Line 3
Schedule C, Line 3
Add Lines 8 + 9 + 10
Previous Summary Page, Line 16
Column Al Line 3 above
Schedule 1, Line 4
Column Al Line 8 above
Add Lines 12 + 13 + 14, then subtract Line 15
If this is a termination statement, Line 16 must be zero.
17. LOAN GUARANTEES RECEIVED
$
a5z5
93 5"
135
Statement covers period
from / D - - / 8'
through //3r /o
Column B
CALENDAR YEAR
TOTAL TO DATE
76-esse
$ 7C)'_ 6a
7 5-15'
idaeLs'
es-
$
.Z 45" ij755S•
$
/ogS
026.7)
536"
„Grow
Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts
18. Cash Equivalents See instructions on reverse
19. Outstanding Debts Add Line 2 + Line 9 in Column B above
$
To calculate Column B,
add amounts in Column
A to the corresponding
amounts from Column B
of your last report Some
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts If
this is the first report being
filed for this calendar year,
only carry over the amounts
from Lines 2, 7, and 9 (if
any).
SUMMARY PAGE
Calendar Year Summary for Candidates
Running in Both the State Primary and
General Elections
1/1 through 6/30
7/1 to Date
20. Contributions
Received $ $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made*
(If Subject to Voluntary Expenditure Limit)
Date of Election
(mm/dd/yy)
Total to Date
*Amounts in this section may be different from amounts
reported in Column B
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
2. Amount received this period — unitemized monetary contributions of Tess than $100
Schedule A
Monetary Contributions Received
SEE INSTRUCTIONS ON REVERSE
Amounts may be rounded
to whole dollars.
Statement covers period
from
through L ��
'3 ! 1
Page
SCHEDULE A
of
NAME OF FILER
DATE
RECEIVED
Gloichnitcuo 6.)`
FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTO
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
An Maw) Lk-cal:we a
ro7 Brad1Y ik-e.
Moro ",arcY, C!A- 63y0
e-ettiit&,
CONTRIBUTOR
CODE *
gIND
❑ COM
❑ OTH
❑ PTY
n scc
IND
COM
OTH
PTY
SCC
I
IF AN INDIVIDUAL, ENTER
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
OF BUSINESS)
ResI-. re d
AMOUNT
RECEIVED THIS
PERIOD
tre
I D NUMBER
l 4 / 0 �- t
CUMULATIVE TO DATE
CALENDAR YEAR
(JAN. 1 - DEC 31)
ov
PER ELECTION
TO DATE
(IF REQUIRED)
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
IND
COM
OTH
PTY
SCC
SUBTOTAL $ to? o(Gf �
Schedule A Summary
1. Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.) $
$ f�O
06 d c
3. Total monetary contributions received this period.
at
(Add Lines 1 and 2. Enter here and on the Summary Page, Column Al Line 1.) TOTAL $ 5
r *Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
1
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
Amounts may be rounded
to whole dollars.
v ouA 6o1&v r 6+-1 efi)Gunc; l l g
CODES: If one of the following codes accurately describes the payment, you may enter the code
CMP
CNS
CTB
CVC
FIL
FND
IND
LEG
LIT
campaign paraphernalia/misc.
campaign consultants
contribution (explain nonmonetary)*
civic donations
candidate filing/ballot fees
fundraising events
independent expenditure supporting/opposing others (explain)*
legal defense
campaign literature and mailings
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I D NUMBER)
MBR
MTG
OFC
PET
PHO
POL
POS
PRO
PRT
member communications
meetings and appearances
office expenses
petition circulating
phone banks
polling and survey research
postage, delivery and messenger services
professional services (legal, accounting)
print ads
CODE
Statement covers period
from 10 a
through / 3 /
Otherwise,
RAD
RFD
SAL
TEL
TRC
TRS
TSF
VOT
WEB
SCHEDULE E
Page S of
I D. NUMBER
oal
describe the payment.
radio airtime and production costs
retumed contributions
campaign workers' salaries
t.v or cable airtime and production costs
candidate travel, lodging, and meals
staff/spouse travel, lodging, and meals
transfer between committees of the same candidate/sponsor
voter registration
information technology costs (internet, a -mail)
OR DESCRIPTION OF PAYMENT
AMOUNT PAID
AL2AA.) nl € 5
d,6 lam. an b
c•S cet. n Luis
6
6÷reets
hseo
Ma 5(5 ► .tka ll
3oo Tr a c d ct_ ct 54'v ots
34 92-
Pko ne0 MICA) 0-4
�me
WEo
bq1cince
l�,w�r�a-�9-e-�' a�V2:f�Sev►�wt"
Ca►'l+r=r bcd-lik. +a ward
Web s I -fie dheudqnwt -far CAM Jn
gc,r
4,
* 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.)
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).)
$ d-4
4. Total payments made this period. (Add Lines 1, 2, and 3 Enter here and on the Summary Page, Column Al Line 6.) TOTAL $ T346"
FPPC Form 460 (Jan/2016)
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov