0 Political Party/ Central Committee

Transcription

1 COVER PAGE Stamp SEE INSTRUCTIONS ON REVERSE I Statement covers period 1. Type Recipient Committee: All Committees Complete Parts 1, 2, 3, and 4. April 1, 2018 d Officeholder, Candidate Controlled Committee Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee Q Recall 0 Controlled Also Complete Part 5) O Sponsored Also Complete Part 8) ElGeneral Purpose Committee O Sponsored Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee Also Complete Pad 7) 0 Political Party/ Central Committee 3. Committee Information I I. D. NUMBER Rob Conklin for City Council 2018 election If applicable: Month, Day, Year) November 6, Type Statement: Preelection Statement Semi- annual Statement Termination Statement Also file a Form 410 Termination) Amendment (Explain below) Treasurer( s) NAME OF TREASURER Darlene Conklin WOO ADDRESS 1 For Official Use Only Quarterly Statement Special Odd -Year Report STREET ADDRESS ( NO P.O. BOX) ( Petaluma CA ( MAILING ADDRESS ( IF DIFFERENT) NO, AND STREET OR P.O. 93X- NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS Petaluma CA 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 Wiest my know) d 9 -the informal ntained herein and In the attached schedules is true and complete. I certify Under penalty perjury under the laws the State California that the foregoing is, trte ar i core _ July 28, 2018 July 28, 2018 or Executed on Signature Controlling Officeholder, Candidate, Slate Measure Proponent Signature Controlling Officeholder, Candidate, State Measure Proponent FPPC Advice: advice@fppc. co. gov ( 866/ )

2 COVER PAGE - PART 2 ' z` S 5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee NAME OF OFFICEHOLDER OR CANDIDATE Robert Conklin OFFICE SOUGHT OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Petaluma City Council RESIDENTIAUBUSINESS ADDRESS ( NO. AND STREET) CITY STATE ZIP Petaluma CA 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 your candidacy. NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION Identify the controlling ficeholder, 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 flcehoider( s) or candidate( s) for which this committee Is primarily formed. CITY STATE ZIP CODE AREA CODE/ PHONE MITTEE NAME I I. D. NUMBER NAME OF TREASURER YES NO CITY STATE ZIP CODE AREA CODEIPHONE Attach continuation sheets If necessary

3 Campaign Summary Disclosure Statement age Amounts may be rounded SUMMARY PAGE to whole dollars. Statement covers period. April 1, SEE INSTRUCTIONS ON REVERSE 3 S NAME OF FILER Contributions Received Column A Column B TOTAL THIS PERIOD CALENDARYEAR FROM ATTACHED SCHEDULES) TOTAL TO DATE 1. Monetary Contributions... Schedule A, Line 3 2. Loans Received... Schedule a, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines Nonmonetary Contributions... Schedule C, Line 3 5. TOTAL CONTRIBUTIONS RECEIVED... Add Lines Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 20. Contributions Received $ $ 21. Expenditures Made $ $ 1/ 1 6/ 30 7/ 1 to Expenditures Made 6. Payments Made... Schedule E, Line 4 $ Loans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS... Add Lines $ Accrued Expenses ( Unpaid Bills)... Schedule F, Line Nonmonetary Adjustment... Schedule C, Line TOTAL EXPENDITURES MADE... Add Lines $ 346 a IExpenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made* If Subject to Voluntary Expenditure Limit) Election Total to mm/ dd/ yy) Current Cash Statement 12. Beginning Cash Balance"""""""""""""" Previous Summary, Line To To calculate calculate Column Column B, B, 13, 13, Cash Cash Receipts... Column Column A, A, Line Line 33 above above 600 add amounts in Column 14. Miscellaneous Increases to Cash... AA to to the the corresponding corresponding Schedule i, Line 4 amounts amounts Column Column BB 15. Cash Payments... Column 346 A, Line 8 above your last report. Some amounts in Column A may 16. ENDING CASH BALANCE Add Lines , then subtract Line 15 be negative figures that should be subtracted If this / s a termination statement, Line 16 must be zero. previous period amounts. If this is the first report being 17. LOAN GUARANTEES RECEIVED... Schedule s, Part 2 filed for this calendar year, only can over the amounts lines 2, 7, and 9 ( if Cash Equivalents and Outstanding Debts 18. Cash Equivalents... See instructions on reverse any). Amounts in this section may be different amounts reported in Column B. 19. Outstanding Debts... Add Line 2 + Line 91n Column B above

4 Schedule Monetary Contributionsr Amounts may be rounded to whole dollars. Statement covers period, April 1, SCHEDULE A SEE INSTRUCTIONS ON REVERSE NAME OF FILER I. D. NUMBER FULL NAME, STREET DATE ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN IVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION CONTRIBUTOR IF MITTEE, 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) Robert Conklin Jr. 5/ 30/ 18 Darlene Conklin El 0TH scc 400 5/ 30/ 18 Patrica Conklin ElCoM d SUBTOTAL$ 600 Schedule Schedule AA Summary Summary Amount Amount received received this this period period itemized itemized monetary monetary contributions. contributions. Include Include all all Schedule Schedule AA subtotals.)...$ Amount Amount received received this this period period unitemized unitemized monetary monetary contributions contributions less less than than $ $ $ Total Total monetary monetary contributions contributions received received this this period. period. Add Add Lines Lines 11 and and Enter Enter here here and and on on the the Summary Summary,, Column Column A, A, Line Line 1.)... TOTAL $ TOTAL $ Contributor Contributor Codes Codes Individual Individual Recipient Recipient Committee Committee other other than than or or ) ) Other Other ( ( e. e. g., g., business business entity) entity) Political Political Party Party Small Small Contributor Contributor Committee Committee FPPC FPPC Form Form ( ( Jan/ Jan/ 2016) 2016) FPPC FPPC Advice: Advice: advice@fppc. advice@fppc. ca. ca. gov gov ( ( 866/ 866/ ) 3772) ca. gov

5 Amounts may be rounded to whole dollars. Statement covers period. SCHEDULE E SEE April 1, 2018Fftge ' June 30, S_ 5L Rob Conklin for City Council CODES: If one 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 fice 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 Independent expenditure supporting/ opposing others ( explain)* POS postage, delivery and messenger services TSF transfer between committees the same candidate/ sponsor LEG legal defense PRO pressional 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 MITTEE, ALSO ENTER I. D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Adopter Media Webpage Design PRO 100 AN Innovation Campaign Materials EI Cajon CA CMP 246 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 346 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals Unitemized payments made this period under $ $ 3. Total interest paid this period on loans. ( Enter amount Schedule B, Part 1, Column( e).)... $ 4. Total payments made this period. ( Add Lines 1, 2, and 3. Enter here and on the Summary, Column A, Line 6.) TOTAL $ FPPC Form 460 ( Jan/ 2016) ca. gov