REQEEVEQ SEP

Size: px
Start display at page:

Download "REQEEVEQ SEP"

Transcription

1 Recipient Committee Campaign Statement Cover Page REQEEVEQ SEP CITY CLERK "om 01/01/2016 through 09/24/2016 Date of Election if applicable 11/08/2016 (Month, Day, Year) Date Stamp COVER PAGE FORM Page 1 of 39 For Official Use Only 1. Type of Recipient Committee i Officeholder, Candidate Controlled Committee 0 State Candidate Election Committee Committee 0 Recall Q Controlled D General Purpose Committee 0 Sponsored 0 Sponsored 0 Small Contributor Committee O Political Party/Central Committee [I Prlmarlly Formed Ballot Measure Primarily Formed Candldalel Officeholder Committee 2. Type of Statement I Pre-election Statement I:I Semi-Annual Statement E] Termination Statement I] Amendment. ID. Number 3. Committee information Treasurer(s) COMMITTTEE NAME Bill Wolpert for Petaluma City Council NAME OF TREASURER Dave Alden STREET ADDRESS [:1 Quarterly Statement 1] Special Odd-Year Statement E] Supplemental Pre-election Statement - Attach Form 495 STREET ADDRESS (NO PO BOX) CITY STATE ZIP CODE AREA CODE/PHONE Petaluma CA CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY Petaluma. CA MAILING ADDRESS (IF DIFFERENT) STREET ADDRESS CITY STATE ZIP CODE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX / ADDRESS OPTIONAL: FAX l 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 is true and complete. I certify under penalty of perjury State of California that the foregoing is true and correct. I Executed on 7/2I7/1L By ww L - SIGNATURE OF TREASURER OR ASSISTANT TREASURER I 1" Executed on i l 7 ) l I SQ By my???.4 SIGNAT RE 0F CONTROLLING OFFICEHOLDER, CAND. STATE Executed on Executed on By BY EASURE PROPONENT OR RESPONSIBLE OFFICER 0F SPONSOR SIGNATURE OF CONTROLLING OFFICEHOLDER. CANDII STATE MEASURE PROPONENT SIGNATURE OF CONTROLLING OFFICEHOLDER, CANDI, STATE MEASURE PROPONENT FPPC Form - January/05 State of California/SI

2 Recipient Committee Campaign Statement COVER PAGE - PART 2 cover Page ' Part 2 Page 2 0f 3 9 through 09/24/ Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure """ NAME Committee OF OFFICEHOLDER '7 OR CANDI A """" NAME OF BALLOT MEASURE Mr. Bill Wolpert OFFICESOUGHT W A A OR HELD ( INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO. OR LETTER JURISDICTION City Council [I SUPPORT Member City Of Petaluma D OPPOSE RESIDENTIAL/BUSINESS ADDRESS ( No, AND STREET) CITY STATE ZIP M, ~ ~,, Petaluma CA Identify the controlling Officeholder, candidate, or state if measureproponent, ail/"l, i NAME OF OFFlCEHOLDER OR CANDI OR PROPONENT Related Committees Not Included in this Statement: LI'St any committees not included in this statement that are controlled by you or are primarily formed to "T T, TA receive contributions or make expenditures on behalf ofyour candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IRAN? COMMITTEE NAME ID. NUMBER 7. Primarily Formed Candidate/Officeholder Committee NAME OF List TREASURER names of officeholder(s)or candidate(s) for which CONTROLLED this committee COMMITTEE is primarily formed.? L, El YES :] NO NAMEOF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD COMMITTEE STREET ADDRESS? NO P.o. BOXSW [:1 SUPPORT E] OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE,,LL,,,, NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD 7 COMMITTEE NAME: ID. NUMBER [:1 SUPPORT D OPPOSE A VVVVVV C O C o 07 " Vi W A A A NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFI EH LDER OR ANDI FFI E SOUGHTDEW, R HELD E] YES [: NO M "A [I SUPPORT COMMITTEESTREET ADDRESS ( NO P. 0 BOX) E] OPPOSE... e A ~7 ~, A CITY NAME OF oeficeholder STATE OR CANDI ZIP CODE AREA CODE/PHONE OFFICE SSUéDT OR HELD E] SUPPORT [: OPPOSE FPPC Form - January/05 State of California/SI

3 Campaign Disclosure Statement Summary Page NAME OF FILER Bill Wolpert for Petaluma City Council SUMMARY PAGE statememcovers pemd 3 f 3 9 through 09/24/2016 Page 0 ID. NUMBER Contributions Received 1. Monetary Contribufi0 n8.... Schedule A. Llne 3 14 r r Column A Column B. TOTALTHIS PERIOD CALENDAR YEAR calendar Year summary for candldates Running In Both the State Primary and (FROMATTACHED SCHEDULES) TOTAL TO. - u General Elections. 2 Loans Received... Schedule B, Line ,1 through 6,30 7,1 to Date 3 SUBTOTAL CASH CONTRIBUTIONS...Add Lines , , :256: Nonmonetary Contributions... Schedule 0, Line Expenditures 5 TOTAL CONTRIBUTIONS RECEIVED... Add Lines I l Made $ $ Expenditures Made 6. Payments Made... Schedule E, Line 4 6, l , l Expenditure Limit Summary 7. Loans Made... Schedule H, Line for State cand'dates 8. SUBTOTAL CASH PAYMENTS... Add Lines , 1 99~ 08 6, CumulafiVe Expenditures Made * ( lf Subject to Voluntary Expenditure Limits) 9. Accrued Expenses (Unpaid Bills)... Schedule F. Line Nonmonetary Adjustment... Schedule 0, Line TOTAL EXPENDITURES MADE... AddLinesa+9+1o $ Current Cash Statement 12. Beginning Cash Balance... [Previous Summary Page, Line $ 13. Cash Receipts... Column A, Line 3 above 1 4 I * Amounts in this Section may be different from amounts 14. Miscellaneous Increases to Cash... Schedule /, Line fepofled In Column Cash Payments... Column A, Llne a above 6, l ENDING CASH BALANCE Add Lines , lhen subtract Line 15 8 l LOAN GUARANTEES RECEIVED... Schedule B, Part Cash Equivalents and Outstanding Debts 18. Cash Equivalents ' 19. Outstanding Debts... Add Lines 2 ' + Lme 9 In Column B above FPPC Form -Januar I05 State of Californinl

4 Schedule A Statement covers perlod from 01/01/2016 FORM through 09/24/2016 Page NAMEOF FILER Bill Wolpert for Petaluma City Council 2016 ID. NUMBER IF AN INDIVIDUAL, ENTER C L TN 0 ATE E LEC IO FULL NAME,STREETADDRESSAND ZlP CODEOF OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT P N RECE'VED UgfiiEANDAEREERR BrSDATL l : COMM'TTEE'ALSO ENTER "0' NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (lf REQUIRED) 07/27/2016 Dave Alden 1ND Civil Engineer (G16) Self empl no sep business name 09/21/2016 Kathleen Alden IND Retired (G16) 09/21/2016 Bonnie Allen IND (816) Rohnert Park, CA /26/2016 Scott Andrews IND Consultant (G16) Cogenia Partners LLC SUBTOTAL $ Schedule A Summary 1. Amount received this period - itemized contributions (Includes all Schedule A subtotals ) ' 869 ' 00 "C t'bt C d,nofiwggigggafi es 8$x_ gfigf'entc mmmee( 'he ha PTY rscc PTY-PolitioalParly SOC-Small Contributor Committee 2. Amount received this period - unltemized O ' Total monetary contributions received this period. (Add Lines 1 FPPc EHd 2. Enter Form here and on the summary (Janl05) Page. Column A Line 1) TOTAL $ 14/ Fppc Toll-Free Helpline: 866/ASK-FPPC

5 Monetary ContrIbutIons Received from 01/01 /2015 FORM through 09/24/2016 Page 5 0f 39 NAME OF FILER Bill Wolpe rt for Petaluma City Council ID. NUMBER O 4 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL. ENTER CUMULATIVE TO CONTRIBUTOR PER OCCUPATION AND ELECTION EMPLOYER AMOUNT RECE'VED CALENDAR YEAR T0 F COMM'TTEE- ALSO ENTER 3' NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (1F REQUIRED) 08/27/2016 Walter Chip Atkin IND Retired (G16) N. A. Dale Axelrod IND Artist (G16) Self-empl no sep business name 09/18/2016 Steven Barclay IND Lecture Agent (G16) Self empl no sep business name 08/11/2016 Teresa Barrett IND Elected Official (G16) City of Petaluma SUBTOTAL $ [ LI IContribulorCodes: IND-individual COM-RecipieniCommittee(otherthan PTY orscc) OTH-Oiher PTY-Political Party SOC-SmallContributorCommiitee J

6 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 6 0f 39 ID.NUMBER l O 4 IF AN INDIVIDUAL, ENTER FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR cu ULATIVE CONTRIBUTOR PER OCCUPATION ELEC AND ION EMPLOYER AMOUNT galendarfiar RECE'VED To ('F COMM'TTEE' ALSO ENTER "'3' NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) 09/16/2016 George Beeler IND Architect (G16) AIM Associates 09/21/2016 John Bertucci IND Executive Director (G16) PCA-TV Michael Bicheler IND Electrician (G16) Self empl no sep business name 09/18/2016 Garth Bixler IND Investor (G16) Self empl no sep business name SUBTOTAL $ L * Contributor Codes: IND-Individual COM-RecipientCommiitee(otherihan PTY orscc) OTH-Oiher PTY-Political Party SCC-Smali Contributor Committee j

7 from 01/01/2016 FORM through 09/24/2016 Page 7 of 39 NAMEOFFKER Bill Wolpert for Petaluma City Council D NUMBER IF AN FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 'ND'V DUAL, ENTER CUMULATIVE TO PER ELEC ION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECE'VED CALENDAR YEAR TO ('F COMM'TTEEv ALSO ENTER 3' DAT-IE NUMBER) CODE (if SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) 08/27/2016 David Brown IND Engineer (G16) Broadcom Ltd Patricia Tuttle Brown IND Chinese Medicine (616) Self-empl no sep business name Holly Butler IND None (G16) Petaluma, CA N.A 09/21/2016 Janice Cader-Thompson IND Retired (G16) Petaluma, CA SUBTOTAL $ [ Contributor Codes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) 0TH-Other PTY-Poiiticai Party SCC-SmallContributorCommitiee J 1

8 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 8 of 39 HlNUMBER O 4 IFIAN INDIVIDUAL. ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUMULATIVE TO PER ELEC ION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CALENDAR YEAR TO RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) ODE (IF SELF-EMPLOYED. ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) Sheri Cardo IND Director of Communications O 9 / 1 5/ (616) Petaluma, CA Sonoma Land Trust 0 8 /2 2 /2 0l 6 Fred Carroll IND (616) 0 9 / 0l/2O1 6 Michael Carver IND Deputy Superintendent (G16) NOAA 0 9 /2 3 / Janie Castles IND Retired (G16) N. A. SUBTOTAL $ L ContributorCodes: IND-Individual COM-RecipientCommittee(otherthan PTY orscc) OTH-Olher PTY-Poiitical Party SOC-SmallContributorCommiitee ]

9 NAME OF FILER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 9 Of 39 1 NUMBER IFAN INDIVIDUAL, FULL NAME, STREETADDRESS AND ZiP cone OF CONTRIBUTOR ENTER CUMUL TIVE ODA E CONTRIBUTOR ER EL c OCCUPATION AND EMPLOYER AMOUNT C ALQNDARTYEART P RECEIVED (IF COMMITTEE, ALSO TO DiT-EON ENTER ID. NUMBER) CODE OF SELFEMPLOYEQ ENTER NAME OF BUSINESS) RECEIVED (JAN'1 _ DEC. 31) (IF REQUIRED) Victor Chechanover IND Retired (G16) Petaluma, CA (39/23/2016 Suzanne Clark IND Retired (616) 08/30/2016 George Clyde IND Retired (616) Marshall, CA N1A Carol Coates IND Arthur (G16) Self empl no sep businese name SUBTOTAL $ ] HConiributorCodes: ind-lndividual COM-RecipieniCommiitee(oiherlhan PTYorSCC) OTH-Other PTY-Poiitical Party SCC-Sma lcontributorcommiitee U

10 CAUFORMA from 01/01/2015 FORM through 09/24/2016 Page 10 0f 39 NAMEOF FILER Bill Wolpert for Petaluma City Council 2016 l-d-number IFAN lndlvldual. ENTER C TIVE OD E PE ELEC I FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT UCMfl-EKDAREEAQT $0 ON RECEIVED ('F COMM'TTEE» ALSO ENTER 3- NUMBER) CODE (IF SELF EMPLOYED. ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (1F REQUIRED) Marne Coggan IND Adjunct Instructor (G16) Santa Rosa Junior College 09/12/2016 Greg Colvin IND (616) John Cota IND Retired (G16) 08/30/2016 John Crowley IND Info Technology (G16) Self empl no sep business name SUBTOTAL $ L [ ConiributorCodes: lnd-indlvldual COM-RecipientCommittee(otherthan PTYorSCC) 0TH-Other PTY-Politicai Party SOC-Small Contributor Committee 3

11 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 11 0f 39 ID~NUMBER IF AN INDIVIDUAL, ENTER FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUMULATIVE TO PER CONTRIBUTOR ELECTION OCCUPATION AND RECEIVED EMPLOYER AMOUNT (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE CALENDAR YEAR TO (IF SELFEMPLOYED. ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 _ DEC_ 31) (IF REQUIRED) Helaine Dorenfeld IND Bookkeeper (G16) Self empl no sep business name 08/26/2016 Bryan Duke IND Student (616) Salinas, CA /22/2016 David Duke IND Farmer (G16) Salinas, CA Coastal Seeds 08/22/2016 vicky Duke IND Ag 3011 Consultant (016) Salinas, CA Self SUBTOTAL $ L * Contributor Codes: IND-Individual COM-RecipientCommittee (other than PTY or 800) OTH-Other PTY-PoliticalParty SOC-Small Contributor Commlttee J

12 from 0 1 / Ol / 2 O 1 6 FORM NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 12 of 39 'D-NUMBER l O 4 FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL. ENTER CUMUL five To PER CONTRIBUTOR ELEC OCCUPATION AND ON EMPLOYER AMOUNT CALSND ATIEI RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE AR YEAR T0 D (IF SELF-EMPLOYED, ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) Joseph Durney IND Unemployed (G16) N. A. 09/21/2016 Dennis Elias IND Realtor (G16) Petaluma, CA Self empl no sep business name 08/31/2016 Dennis Elias IND Realtor (G16) Petaluma, CA Self empl no sep business name 08/22/2016 D Lynda Fisher IND Manager (G16) Daily Acts SUBTOTAL $ 325. ooi ConlributorCodes: IND-Individual COM-RecipieniCommittee(oiherthan PTYorSCC) OTH-Other PTY-Poliiicai Party SOC-SmallContributorCommiiiee J, I

13 through 09/24/2016 Page 13 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council H1 NUMBER O 4 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN IND'V DUAL» ENTER CUMULATIVE TO CONTRIBUTOR OCCUPATION PER ELECTION AND EMPLOYER AMOUNT RECEIVED CALENDAR YEAR TO ( F COMM'TTEE' ALSO ENTER 'D- NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (F REQUIRED) 08/30/2016 Michael Frost IND General Contractor (G16) Scout Construction 0 9/ O 9/2 0l 6 Michelle Gabbert IND Business Owner (G16) 0 9 / 1 9/2 0l6 Pete Gang IND Architect (G16) Petaluma, CA Common Sense Design 0 8 /2 4 /20l 6 Ken Garber IND Retired (G16) Petaluma, CA N. A. SUBTOTAL$ 47s.oo ( ConlributorCodes: IND-Individual COM~RecipientCommittee(otherihan PTYorSCC) OTH-Other PTY-Polilicai Party SCC-SmallContributorCommittee J

14 Monetary Contributions Recelved from 01/01 /2015 FORM through 09/24/2016 Page 14 of 39 46o NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER O 4 IF AN FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR INDIVIDUAL, ENTER CONTRIBUTOR C ULATIVE TO OCCUPATION AND PER EMPLOYER AMOUNT UgALENDAR ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE YEAR TO (IF SELFEMPLOYED' ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) 08/24/2016 Sandra Garber IND Retired (616) 09/21/2016 Clinton Gilbert IND Retired ,00 50 (616) Petala, CA /22/2016 David Glass for Mayor 2018 COM ID No (G16) Petaluma, CA /21/2016 Stan G01d IND Retired (G16) Petaluma, CA SUBTOTAL$ L47 [ ContributorCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-OIher PTY-Political Party SOC-SmallContributorCommittee J

15 from 01/01/2016 FORM through 09/24/2016 Page 15 Of 39 NAME OF FlLER Bill Wolpert for Petaluma City Council NUMBER FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE IF AN INDIVIDUAL. ENTER CUMULATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECEIVED CALENDAR YEAR TO (JAN. 1 _ DEC. 31) (IF REQUIRED) Diana Gomez IND Attorney (G16) Petaluma, CA Sonoma County Oma Goodrich IND Acupuncturist ((316) Self empl no sep business name 08/22/2016 Green Builders Architects 0TH (G16) Green Properties 0TH (616) SUBTOTAL $ 550. oo [ "ContributorCodes: IND-individual COM-RecipientCommittee(otherihan F'TYorSCC) 0TH-Other PTY-Political Party SOC-SmallConiributorCommlitee ]

16 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 16 of 39 HlNUMBER O 4 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE IFAN INDIVIDUAL, ENTER C TIVE ATE ER EL CONTR BUTOR OCCUPATION AND EMPLOYER AMOUNT Ug/IJLLSNDARLCEER P To D5320 (IF SELF-EMPLOYED, ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (II: REQUIRED) Paul Greenblatt IND Volunteer (G1 6) 09/08/2016 Bjorn Griepenburg IND Planner (G16) Marin County Bicycle Coalition Woody Hastings IND Environmentalist (616) Sebastopol, CA Center for Climate Protection 09/11/2016 Melissa Hathaway IND Director of Marketing (616) Great Falls Entertainment SUBTOTAL $ L ContributorCodes: IND-Individual COM-RecipieniCommittee(otherthan PTYorSCC) OTH-Oiher PTY-Politlcal Party SOC-SmallContributorCommittee ]

17 NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER IF ANINDIV'DUAL. ENTER cu L TIVE OD TE PE ELEC IO FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT 311/11nARI/EAS 1, 0 N RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 _ DEC. 31) (IF REQUIRED) 08/26/2016 Marjorie Helm IND Consultant (G15) Self empl no sep business name 09/01/2016 Susan Herman IND Retired (G16) 09/19/2016 Carol Izaak IND Retired (G16) Vasanti Jayaswal IND (G16) SUBTOTAL$ [ Contributor Codes: lnd-lndlvldual COM-ReciplentCommlttee(otherthan PTYorSCC) 0TH-Olher PTY-PoliticalParty SOC-SmallContributorCommiflee ]

18 through 09/24/2016 Page 18 Of 39 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 ID-NUMBER l O 4 IF AN INDIVIDUAL. ENTER CUMULATIVE TO PER ELECTION FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF RECEIVED BUSINESS) CALENDAR YEAR TO (JAN. 1 _ DEC. 31) (u: REQUIRED) Cheryl Jern IND Psychotherapist (G16) Sel empl no sep business name 0 9/2 3/ Daryl Johnson IND (G16) Petaluma, CA /26/2016 Ross Jones IND Architect (G16) Signum Architect 08/22/2016 Stephen Kent Jones IND Real Estate Broker (G16) Rohnert Park, CA Self empl no sep business name SUBTOTAL $ L [** Contributor Codes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Other PTY-PoliticalFarty SOC-SmallContributorCommiIlee ]

19 Monetary ContrIbutions Received NAMEOFFWER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 19 0f 39 LD-NUMBER l O 4 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL. ENTER C M TIVE To RECEIVED CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT UCAJIZANDAR PER ELECTION (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE YEAR To (IF SELFEMPLOYED' ENTER NAME OF BUSNESS) RECEIVED (JAN, - 1 DEC. 31) (IF REQUIRED) Alyssa Jorgensen IND Structural 09/18/2016 Engineer (G16) Jorgensen Engineering Tom Joynt IND Retired (G16) 09/12/2016 Robert Kahn IND Inkeeper (G16) Marshall, CA Self empl no sep business name 09/14/2016 David Keller IND Tool Manufactorer (G16) Keller & Co SUBTOTAL $ l7 [* ConlributorCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Olher PTY-PoIiticaI Party SOC-SmallContributorCommittee T

20 Monetary ContrIbutIons Recelved from 01/01/2016 FORM through 09/24/2016 Page 20 0f 39 NAME OF FlLER Bill Wolpert for Petaluma City Council 20 l 6 ID. NUMBER O 4 FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR 'F AN 'ND'V'DUAL- ENTER CONTRIBUTOR CUMULATIVE OCCUPATION AND TO PER ELECTION EMPLOYER RECE'VED AMOUNT CALENDAR YEAR F COMM'TTEE' ALSO ENTER 3' TO NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) Ann Kemmer IND Legal Operations Manager Petaluma, CA Autodesk O 9 /2 3/ 2 0l 6 Steve Kirk IND Retired N. A. O 9 /2 3 /2 0l 6 Lucy Kortum IND Retired N. A. O 9/ 1 0/ Michael Kraus IND Manager Petaluma, CA BioMarin Pharmaceuticals SUBTOTAL $ L ConlributorCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Other PTY~PoIitical Party SOC-SmallContributorCommiItee ]

21 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 from 01/01/2016 FORM through 09/24/2016 Page 21 0f 39 HlNUMBER O 4 SCHEDULEA ( IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUMULATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CALENDAR ODE YEAR TO (IF SELF-EMPLOYED, ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) 08 /24 /20l6 Jim Lammers IND Retired (G16) San Anselmo, CA N. A. 0 9/ 2 3/2 0l 6 Jennifer LaPorte IND Retired (616) N. A. 0 9 / 0 9 /2 0 l 6 Louise Leff IND Landscape Architect (G16) Leff Landscape Associates Inc 0 9/ O 6/2 0l 6 Roger Leventhal IND Realtor (G16) Self empl no sep business name SUBTOTAL $ L 1 Contribuior Codes: IND-individual COM-RecipieniCommiitee(oiherihan PTYorSCC) 0TH~Other PTY-PoliticalPariy SOC-Small Contributor Committee 3

22 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 22 0f 39 ID NUMBER O 4 'F AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUMULATIVE TO PER ELECTIO CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CALENDAR YEAR TO N F COMMITTEE ALSO ENTER 3- NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 - DEC. 31) (F REQUIRED) David Libchitz IND Independent Contractor (G16) Self empl no sep business name 09/21/2016 Kit Lofroos IND Massage Therapist (G16) Se1f~emp1 no sep business name 08/22/2016 Matt Maguire IND Tasting Room Host (G16) Sonoma Port Works 09/02/2016 Nariman Manoochehri IND VP Operations (G16) Petaluma, CA Xandex Inc SUBTOTAL $ L ** Contributor Codes: IND-Individual COM-RecipientCommlItee(otherihan PTY orscc) OTH-Other PTY-Political Party SOC-SmallContributorCommittee ]

23 through 09/24/2016 Page 23 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER O 4 IF AN INDIVIDUAL, ENTER C ULATIVE 0 DA E RELEC FULL NAME. STREET ADDRESS AND ZIP cone OF CONTRIBUTOR CONTR BUTOR OCCUPATION AND EMPLOYER AMOUNT UglALENDARTYEART PE To DAT-EON RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE (IF SELF»EMPLOYED. ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) Tim May IND Retired (G16) N. A. 09/21/2016 Stephanie McAllister IND Landscape Architect (616) Self empl no sep business name Dan McBeen IND (G16) Petalurna, CA /21/2016 Kevin McDonnell IND (616) Not employed SUBTOTAL $ 660. ool Contributor Codes: IND-lndlvldual COM-RecipienICommiItee(otherthan PTYorSCC) OTH-Olher PTY-PoIiticaI Party SCC-SmallContributorCommittee j

24 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 24 0f 39 ld-number IF AN INDIVIDUALl ENTER C ATIVE D E p]; [0 FULL NAME, STREETADDRESS ANDZIPCODE 0F CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT UgXLIENDARZCEAQ-r $513513; N RECE'VED ('F COMM'TTEE'ALSO ENTER'-D-NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (F REQUIRED) 08/22/2016 Beth Meredith IND Lifestyle Consultant (G16) Petaluma, CA Self-empl no sep business name Carol Messer IND Retired (G16) 08/30/2016 Alicia Kae Miller IND Patient Advocate (G16) Richmond, CA BioMarin Pharmaceutical In 08/26/2016 Jude Mion IND Retired (G16) Petaluma, CA SUBTOTAL$ zso.oo[ ConlributorCodes: IND-Indlviduai COM-RecipientCommltiee(otherthan PTYorSCC) OTH-Oiher PTY-Poiitical Party SCC-SmallConlributorCommittee J

25 I Schedule A (Continuation Sheet) from 01/01/2010 FORM through 09/24/2016 Page 25 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER O 4 IF AN INDIVIDUAL, ENTER C TIV TE E LEC FULL NAME. STREET ADDRESS AND ZIP cone 0F CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT UgXLLé iidaerrceeq P :5 DAT-EON RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE (IF SELF-EMPLOYED. ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) 09/21/201 6 Tiffany Mitchell IND Life Coach (G16) Self empl no sep business name Petaluma, CA / 02 /2 O 1 6 MKM & Associates 0TH (G16) Santa Rosa, CA /23 / Michael Molland IND Retired (G15) N.A. 09/12/201 6 Tammara Norman IND (G16), SUBTOTAL $ i * Contributor Codes: IND - individual COM - Recipient Committee (other than PTY or SCC) 0TH - Other PTY - Political Party Small Contributor Committee

26 Monetary ContrIbutIons Receed through 09/24/2016 Page 26 Of 39 NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER IF AN FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR INDIVIDUAL. ENTER CUMULATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE CALENDAR YEAR T0 (IF SELFEMPLOYED. ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (F REQUIRED) 08/11/2016 Donna Norquist IND Retired (G16) 08/26/2016 Ned Orrett IND Civil Engineer (616) Pacific Technology Assoc Mike Orton IND Retired (G16) Petaluma, CA /19/2016 Karen Peterson IND (616) SUBTOTAL$ 475.oo * Contributor Codes: ind-indlvidual COM-RecipieniCommiitee(otherthan PTYorSCC) OTH-Olher PTY-PoiiticalPariy SOC-SmallContributorCommittee

27 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 CALlFORNlA through 09/24/2016 Page 27 0f 39 ld-number l O 4 FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR IF AN INDIVIDUAL. ENTER CONTRIBUTOR cu UL TIVE OCCUPATION AND 0 DA E PER EL EMPLOYER AMOUNT 0 l RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE QAALQQDAREEART To DiT-II EON (IF SELF-EMPLOYED, ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) 09/19/2016 William Phillips IND Retired (G16) N. A. 09/21/2016 Jennifer Pierre IND Consultant (616) ICF 09/02/2016 Carolyn Pistone IND Property Management (G16) Clear Blue Management 08/11/2016 Dennis Pocekay IND Professor (G16) UC Davis SUBTOTAL $ ] [* ConitibuiorCodes: lnd-lndlvidual COM-Recipient Committee (otherihan PTY orscc) OTH-Oiher PTY-Political Party SOC-SmallContributorCommiitee J

28 Schedule A (cont'nuatlon Sheet) Monetary ContrIbutIons Receed from 01/01/2010 FORM through 09/24/2016 Page 28 0f 39 NAMEOF FILER Bill Wolpert for Petaluma City Council 2016 I-D-NUMBER SCHEDULEA IFAN INDIVIDUAL, ENTER C ATIVE D E PER ELE ION FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT UgnENDARWEAé-r RECE'VED ('F TO COMM TTEEv ALSO ENTER '-D- 032 NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) 08/22/2016 David Powers IND Retired (G16) Cynthia Rathkey IND Retired ((316) 07/27/2016 Gregory Reisinger IND Utility Regulator (G16) CA Public Utility Comm 08/30/2016 Joe Reyes IND (G16) SUBTOTAL $ L ContribqrCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Olher PTY-PoliticalParty SOC-SmallContributorCommIttee ]

29 Monetary ContrIbutIons Receed from 01/01/2016 FORM through 09/24/2016 Page 29 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council ID NUMBER IF AN INDIVIDUAL, ENTER CU ULATIVE D TE PER EL FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT glalendar-e/oeaq RECEIVED TO gig ION I": COMMITTEE ALSO ENTER "9' NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) O 9/0 1 / Heidi Rhymes IND Hydrogeologist Petaluma, CA AWS O 8 / 3 0 /20l 6 Bill Rinehart IND Landscape Architect PetalurIIa, CA / 3 0/2 0 l 6 Katherine Rinehart IND Librarian Petaluma, CA Sonoma Co O 9/23/2 0l 6 Murray Rockowitz IND Photopher Self empl no sep business name SUBTOTAL $ 575. ool [* ContributorCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Other PTY-Political Party SOC-SmallContributorCommittee )

30 from 01/01/2016 FORM through 09/24/2016 Page 30 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council 2016 ID. NUMBER FULL NAME, STREETADDRESS AND ZIPCODE 0F CONTRIBUTOR 'FAN IND'V'DUAL: ENTER CU UL TiVETO CONTRIBUTOR PE ELE IO OCCUPATION AND EMPLOYER AMOUNT RECEIVED gaaleandar YEAR $ N F COMM'TTEE' ALSO ENTER 3' NUMBER) CODE OF SELF-EMPLOYED. ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) Emily Roeder IND Retired (G16) Stephanie Sanchez IND Professor (G16) Santa Rosa Junior College 09/10/2016 Nancy Sasser IND Manager (G16) Amy s Kitchen 08/22/2016 Beverly Schor IND Retired (G15) SUBTOTAL $ L {"ConiribuiorCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Olher PTY-Poliiical Party SOC-SmallContributorCommittee 1

31 Monetary ContrIbutIons Receed through 09/24/2016 Page 31 Of 39 NAME OF FILER Bill Wolpert for Petaluma City Council 2016 ID. NUMBER FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL, ENTER CUMULATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT CALENDAR YEAR TO RECE'VED ('F COMM'TTEE ALSO ENTER 3' NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECE'VED (JAN. 1 - DEC. 31) (IF REQUIRED) 09/23/201 6 Sculptural Landscapes 0TH (G16) Shadi Shamsavari IND (616) Petaluma, CA Self empl no sep business name 09/1 9/2016 Teri Shore IND Regional Director (G16) Sonoma, CA Greenbelt Alliance Mike Simpson IND School Consultant (G16) IIRP SUBTOTAL $ [ [ ConiributorCodes: IND-Individual COM-RecipientCommiltee(otherihan PTYorSCC) OTH-Oiher PTY-PoliticalPariy SCC~SmaII Contributor Committee ]

32 NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 32 Of 39 ID NUMBER O 4 IF AN INDIVIDUAL: ENTER FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUM LATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT C/IIJLENDAR RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE YEAR TO (IF SELFEMPLOYEQ ENTER NAME OF BUSINESS) RECEIVED ( J AN. 1 _ DEC. 31) (IF REQUIRED) Abigail Smyth IND Wine Sales (G16) Crimson Wine Group 08/30/2016 Robert Stires IND Retired (G16) Petaluma, CA /13/2016 Jenny Stock IND Education Coordinator (G16) Petaluma, CA Cordell Bank Ntl Marine Sanct 09/19/2016 Debi Stone IND (G16) SUBTOTAL $ L [ * Contributor Codes: IND-Individual COM-RecipientCommittee (otherthan PTY or SCC) OTH-Other PTY-Politicai Party SOC-Small Contributor Committee 3

33 NAME OF FILER Bill Wolpert for Petaluma City Council 2016 from 01/01/2016 FORM through 09/24/2016 Page 33 0f 39 LD. NUMBER IF FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR AN INDIVIDUAL, ENTER CUMULATIVE CONTRIBUTOR TO OCCUPATION PER ELECTION AND EMPLOYER AMOUNT RECEIVED ('F COMM'TTEEI ALSO ENTER 3- NUMBER) ODE CALENDAR YEAR T0 (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 - DEC. 31) (IF REQUIRED) 07/27/2016 Superior Systems 0TH (G16) 09/21/2016 Dave Swaney IND Retired (616) Petaluma, CA /2 6/2016 Susan Takami IND Manager (G16) Cogenia Partners LLC 08/26/2016 Susan Takami IND Manager (G16) Cogenia Partners LLC SUBTOTAL $ L I MContributorCodes: IND-Individual COM-RecipientCommiitee(otherthan PTYorSCC) 0TH-Other PTY-Political Party SOC-SmallContributorCommittee 1

34 CAUFORMA through 09/24/2016 Page 34 Of 39 NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER IF AN INDIVIDUAL, ENTER FULL NAME, STREET ADDRESS AND ZiP CODE OF CONTRIBUTOR CU ULATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT galend RECEIVED (1F COMMITTEE, ALSO ENTER ID. NUMBER) CODE AR YEAR TO (IF SELFEMPLOYED' ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 _ DEC_ 31) (u: REQU RED) Susan Thompson IND (G16) Carolyn Torliatt IND Retired (616) 08/22/2016 Carolyn Torliatt IND Retired (G16) Daniel Torliatt IND Retired (G16) SUBTOTAL$ l47 " Contributor Codes: IND-Individual COM-RecipieniCommiitee(otherthan PTYorSCC) 0TH-Oiher PTY-Political Party SOC-SmallContributorCommiitee J

35 Monetary ContrIbutIons Receed through 09/24/2016 Page 35 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council NUMBER O 4 it: AN INDIVIDUAL. ENTER FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CUMULATIVE TO PER ELECTION CONTRIBUTOR OCCUPATION AND EMPLOYER AMOUNT RECEIVED CALENDAR YEAR (IF COMMITTEE, TO ALSO ENTER ID. NUMBER) CODE (IF SELFEMPLOYED' ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) (IF REQUIRED) 08/22/2016 Daniel Torliatt IND Retired (G16) N. A. 07/27/2016 Pamela Torliatt IND Chief Financial Officer (616) Superior Systems Steve Volz IND (G16) Warren Watkins IND (G16) Healdsburg, CA SUBTOTAL s L Contributor Codes: IND - lndlvldual COM - Recipient Committee (other than PTY or 800) 0TH - Other PTY - Political Party Small Contributor Committee J

36 _ Schedule A (Continuation Sheet) NAMEOFFKER Bill Wolpert for Petaluma City Council 2016 through 09/24/2016 Page 35 of 39 'D-NUMBER O 4 FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR IF AN INDIVIDUAL. ENTER CONTRIBUTOR OCCUPATION AND cu LATiVE TO EMPLOYER PER AMOUNT gajlendar ELECTION RECEIVED (IF COMMITTEE, ALSO ENTER ID. NUMBER) CODE YEAR T0 (H: SELFEMPLOYEQ ENTER NAME OF BUSINESS) RECEIVED (JAN. 1 _ DEC. 31) (IF REQUIRED) 08/22/2016 Jerry Wilkinson IND Retired (G16) Petaluma, CA N. A. 08/26/2016 Jeff Wolert IND Real Estate Broker (616) Fresno, CA /24/2016 Janis Wolpert IND Special Education Consult (G16) Fresno, CA /24/2016 Elaine Woodriff IND Retired (616) Petaluma, CA N. A. SUBTOTAL $ L ContributorCodesz ind-lndividual COM-RecipientCommiitee(otherthan PTYorSCC) OTH-Oiher PTY-Political Party SCC-SmallContributorCommiitee J

37 through 09/24/2016 Page 37 0f 39 NAME OF FILER Bill Wolpert for Petaluma City Council 2 O NUMBER O 4 IF AN INDIVIDUAL; FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ENTER CU LATIVE TO CONTRIBUTOR PER ELECTION OCCUPATION AND EMPLOYER AMOUNT CM/IJLEND RECEIVED (IF COMMITTEE. ALSO ENTER ID. NUMBER) CODE AR YEAR To (IF SELF-EMPLOYED, ENTER NAME OF RECEIVED BUSINESS) (JAN. 1 _ DEC. 31) '(IF REQUIRED) 09/19/2016 Work OTH (G16) 08/29/2016 Jocelyn Yeh IND Attorney (616) Petaluma, CA Spaulding McCullough & Tansil SUBTOTAL $ L [**ConiributorCodes: IND-Individual COM-RecipientCommittee(otherthan PTYorSCC) OTH-Olher PTY-Poiitical Party SCC-SmallConiributorCommiiiee J

38 Schedule E Payments Made SCHEDULE E through 09/24/2016 Page 38 of 39 NAMEOF FILER Bill Wolpert for Petaluma City Council 2016 ID. NUMBER CODES: If one of the following 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 production costs FIL candidate filing 1 ballot fees PHO phone banks TRC candidate travel, lodging and meals FND fundraising expenses POL polling and survey research TRS staff/spouse travel, lodging and meals IND independent expenditures supporting/opposing others POS postage, delivery. and messenger services TSF transfer between committees 0f 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, ) NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID Agricultural Community Events Farmers Markets MTG San Anselmo, CA City of Petaluma FIL 1, Kresky Signs Inc CMP SUBTOTAL$ 1, Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)... $ 6' 161~18 2. Unitemized payments made this period of under $ Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column (e). ) $ $ Total payments made this period. (Add Line 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL $ 6, FPPC Form (January l05-si)

39 Schedule E (continuation Sheet) Statementcovers period Payments Made through 09/24/2016 Page 39 of 39 NAME OFFlLER Bill Wolpert for Petaluma City Council 2016 t.d. NUMBER CODES: If one of the following 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 production costs FlL candidate filing lballot fees PHO phone banks TRC candidate travel, lodging and meals FND fundraising expenses POL polling and survey research TRS staff/spouse travel, lodging and meals IND independent expenditures supporting/opposing others POS postage, delivery and messenger services TSF transfer between committees 01' the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LlT campaign literature and mailings PRT print ads WEB information technology costs (internet, ) SCHEDULE E NAME AND ADDRESS OF PAYEE CODE or DESCRIPTION OF PAYMENT AMOUNTPAID My Campaign Store CMP 1, Louisville, KY Pacific Print Resources LIT 2, Emeryville, CA 98 Pacific Print: Resources LIT Emeryville, CA 98 Pay Pal OFC San Jose, CA Secretary of State FIL Sacramento, CA SUBTOTAL$ 4, FPPC Form (January l05-sl)

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 15 For Official Use Only

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp E-Filed 08/07/2017 11:25:58 Filing ID: 165607327

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) through of election if applicable: (Month, Day, Year) 09/22/ 11/06/ Stamp E-Filed 09/27/ 15:58:41 Filing ID: 173949065

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 20 For Official Use Only

More information

Type or print in ink. (Month, Day, Year) from 10/18/2015. termination 11/03/2015. Treasurer(s) I NAME OF TREASURER Diet Stroeh MAILING ADDRESS

Type or print in ink. (Month, Day, Year) from 10/18/2015. termination 11/03/2015. Treasurer(s) I NAME OF TREASURER Diet Stroeh MAILING ADDRESS Cover Attach Recipient Committee Campaign Statement (Government Code Sections 842-8421 6.5) Date Stamp RECEIVED Date election if applicable OtT 2 9 215 1/18/215 (Month, Day, Year) termination 11/3/215

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp E-Filed 09/26/2018 15:00:24 Filing ID:

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) 06/07/2016 Date Stamp E-Filed 02/17/2016 16:46:26 Filing ID:

More information

o Sponsored Small Contributor Committee

o Sponsored Small Contributor Committee Recipient Committee Campaign Statement Cover Page Statement covers period from 07/01/2017 Date of Election if dpphcd 01 (Month, Day, Year) E g cio Datamp CL) CO w CO Page 1 of7 COVER PAGE tu1mn21 A I 03

More information

0 Political Party/ Central Committee

0 Political Party/ Central Committee 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

More information

2. 11 F) r ~;t,z:, r (t;

2. 11 F) r ~;t,z:, r (t; Recipient Committee Campaign Statement Cover Page Date Stamp COVER PAGE through 12/31/2015 Date of election if applicable: (Month, Day, Year) FIB I b 3: SS 1. Type of Recipient Committee: AU Committees

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp FORM Page 1 of 12 For Official Use Only COVER PAGE

More information

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS

Date of Election if applicable: (Month, Day, Year) 12/31/2011. Treasurer(s) NAME OF TREASURER Mary Ellen Padilla MAILING ADDRESS MAILING ADDRESS ..., Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 07/01/2011 through 12/31/2011 1. Type of Recipient Committee: li2f Officeholder, Candidate Controlled

More information

LOS ANGElES CITy ETHICS COMMISSION MAY Date Stamp.OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period

LOS ANGElES CITy ETHICS COMMISSION MAY Date Stamp.OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period Recipient Committee Campaign Statement Cover Page LOS ANGElES CITy ETHICS COMMISSION MAY 0 3 2013 RECEIVED Date Stamp OS ANGELES Cl ~~~:::;---,--:::-:---:-:-----_2THICSC0NMISSI01\ 1 Statement r;overs period

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Statement covers period Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date of election if applicable: (Month, Day, Year) Date Stamp E-Filed 07/25/2017 11:18:04 Filing ID: 165485987

More information

Type or print in ink. Date of election if applicable: (Month, Day, Yegp.q vill. Jun 30, Treasurer(s) NAME OF TREASURER David Whittum

Type or print in ink. Date of election if applicable: (Month, Day, Yegp.q vill. Jun 30, Treasurer(s) NAME OF TREASURER David Whittum RecipiL-, it Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement covers period Date of election if applicable: (Month, Day, Yegp.q vill 31 P tr: 3 Ll For Official

More information

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following: Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has

More information

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ;

i: T r ~ 1 (~. ~ l~ () r\ ~ :~-~ ~ ; Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) from 02/20/2011 through 0 3 / 0 2/2 0 11 1. Type of Recipient Committee: GZl Officeholder, Candidate Controlled

More information

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following: Recipient Committee 460 Campaign Statement FORM The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has

More information

06/05/2018. [il. Treasurer( s) Stacy Owens MAILING ADDRESS CITY AREA CODE/PHONE. Peter Sullivan MAILING ADDRESS AREA CODE/PHONE CITY

06/05/2018. [il. Treasurer( s) Stacy Owens MAILING ADDRESS CITY AREA CODE/PHONE. Peter Sullivan MAILING ADDRESS AREA CODE/PHONE CITY COVER PAGE Recipient Committee Campaign Statement Cover Page Date Stamp (Government Code Sections 84200-84216.5) Statement overs period / -~ - - - from --+--+-through 1. Type of Recipient Committee: 1K]

More information

411 D. Recipient Committee Campaign Statement Cover Page. D Primarily Formed Candidate/ Officeholder Committee (Also Complete Pett 7) 17'0~M

411 D. Recipient Committee Campaign Statement Cover Page. D Primarily Formed Candidate/ Officeholder Committee (Also Complete Pett 7) 17'0~M Recipient Committee Campaign Statement Cover Page from 1/1/216 of election if applicable: (Month, Day, Year) Stamp ZS Alfililfi'!RfiJI~ 17'~M 411 D COVER PAGE BB Page : of _7 _ For Official Use Only through

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp E-Filed 10/23/2018

More information

be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates

be subject to contribution limits imposed by local ordinance. Questions concerning local limits purpose of making contributions to candidates Recipient Committee Campaign Statement The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or offi ceholder who has a controlled

More information

Use the Form 460 to file any of the following:

Use the Form 460 to file any of the following: Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or ficeholder who has

More information

Type or print In Ink. I.D.NUMBER Treasurer(s) NAME OF TREASURER Kelly Lawler MAILING ADDRESS MAILING ADDRESS

Type or print In Ink. I.D.NUMBER Treasurer(s) NAME OF TREASURER Kelly Lawler MAILING ADDRESS MAILING ADDRESS Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) COpy from 10/30/2008 Type or print In Ink. Date of election If applicable: (Month, Day, Year) Date Stamp RECEIVED FEB 0 r;

More information

o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7)

o Sponsored (Also Complete Pert 6) o Primarily Formed Candidate! Officeholder Committee (Also Complete Part 7) Recipient Committee Campaign Statement Cover Page from 7/1118 of election if applicab1e: (Month, ay, Year) Stamp COVER PAGE Page of 7 For Official Use Only through 9/22/18 November 6, 2018 1. Type of Recipient

More information

Date of election if applicable: Month, Day, Year) 2. Type of Statement: Preelection Statement. P Semi - annual Statement.

Date of election if applicable: Month, Day, Year) 2. Type of Statement: Preelection Statement. P Semi - annual Statement. Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period Date of election if applicable: Month, Day, Year) 11/ 6/ 18 Date Stamp keec- r V JAN 3120171 CITY CLERK

More information

Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee.

Note: Refer to the Statement of Organization, Form 410, for guidance to determine the type of committee. Recipient Committee Campaign Statement FORM 460 The Form 460 is for use by ALL recipient committees, including: Candidates, Officeholders and Their Controlled Committees A candidate or fi ceholder who

More information

!.03 1.HGELES COUNT' Page 1e (_ t'o'' I (Month, Day, Year) Lu I u Y - P i~ ~ : Q2 For Official Use Only

!.03 1.HGELES COUNT' Page 1e (_ t'o'' I (Month, Day, Year) Lu I u Y - P i~ ~ : Q2 For Official Use Only '. i Recipient Committee Campaign Statement Cover Page January 1, 2016 from October 22, 2016 through--------- 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. D Officeholder,

More information

o Amendment (Explain below)

o Amendment (Explain below) Recipient Committee Campaign Statement Cover Page (Govemment Code Sections 84200-84216.5) Type or print in ink. Statement covers period of election if applicable: (Month, Day, Year) Stamp COVER PAGE CALFORNA

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Date of election if applicable: (Month, Day, Year) 11/06/2018 Date Stamp E-Filed 09/25/2018

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 31 For Official Use Only

More information

Type or print In Ink. (Month, Day, Year) from 07/01/2014. Treasurer(s) NAME OF TREASURER Felipe Fuentes MAILING ADDRESS AREA CODE/PHONE

Type or print In Ink. (Month, Day, Year) from 07/01/2014. Treasurer(s) NAME OF TREASURER Felipe Fuentes MAILING ADDRESS AREA CODE/PHONE . '.,. Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print In Ink. Date of election If applicable: (Month, Day, Year) from 07/01/2014 Date Stamp... COVER PAGE

More information

Type or print in ink. Date of election if applicable: 151('Semi-annual Statement. tj Termination Slatement (Also file a Form 4 10 Termination)

Type or print in ink. Date of election if applicable: 151('Semi-annual Statement. tj Termination Slatement (Also file a Form 4 10 Termination) .' tiecipientcommiuee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE lejcopy Statement covers peri7 0d from /-1..- L!.._ throu 3D" /1 Date of election

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 842-64216.5) Date Stamp COVER PAGE ( \I II ()J{'\1 \ 46 I'OIUI l ot 11 Dale of Election "applicable: A For Official Use Only

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) E-filed on: 10/04/2012 17:29:21 Date of election if applicable: (Month, Day, Year) Date Stamp FORM Page 1 of 9

More information

Type or print in ink. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER. Jim King MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS

Type or print in ink. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER. Jim King MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS '. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type or print in ink. from O_c_t_o_be_r_1..;.,_2_0_1_2_ through October 20,2012

More information

C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) Treasurer(s) MAILING ADDRESS

C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) Treasurer(s) MAILING ADDRESS Recipient Committee Date Stamp Campaign Statement Cover Page (Government Code Sections 84200-84216.5) C CE V ED Statement covets pet-iou Date of election if applicalle yf i (Month, Day, Year) (pr* Page

More information

Type or print in ink. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831)

Type or print in ink. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831) Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) SEE NSTRUCTONS ON REVERSE from Type or print in ink. Jan 1, 2008 March 17,2008 1. Type of Recipient Committee:

More information

Recipient Committee Campaign Statement Cover Page

Recipient Committee Campaign Statement Cover Page Recipient Committee Campaign Statement Cover Page through Date of election if applicable: (Month, Day, Year) Date Stamp COVER PAGE Page 1 of For Official Use Only 30 1. Type of Recipient Committee: All

More information

Type or print in ink. Date of election if applicable: (Month. Dav. Year) Statement covers period 11/4/2014. Treasurer(s)

Type or print in ink. Date of election if applicable: (Month. Dav. Year) Statement covers period 11/4/2014. Treasurer(s) Recipient Committee Campaign Statement Cover Page (Goverment Code Sections 84200-84216.5) Type or print in ink from 711/2 014 Date of election if applicable: (Month. Dav. Year) Date Stamp CALIFORNIA 2001/02

More information

1121 Preelection Statement D. Treasurer(s) Ryan Luther CITY. San Francisco AREA CODE/PHONE MAILING ADDRESS AREA CODE/PHONE CITY

1121 Preelection Statement D. Treasurer(s) Ryan Luther CITY. San Francisco AREA CODE/PHONE MAILING ADDRESS AREA CODE/PHONE CITY Recipient Committee Campaign Statement Cover Page )lt:f~o from 7/1/216. 9/24/216 1. Type of Recipient Committee: All Committees- Complete Parts 1, 2, 3, and 4. State Candidate Election Committee Recall

More information

BY---~~=-::~)~,.,;;:.

BY---~~=-::~)~,.,;;:. Recipient Committee Campaign Statement Cover Page (Government Code Sections 842-84216.5) from 1_/ 1 /_2_1_4 through 1_1_1_8/_2 14 Date of election if applicable: (Month, Day, Year) Nov.4,214 Date Stamp

More information

o Primarily Formed Candidatel

o Primarily Formed Candidatel Recipient Committee Campaign Statement Cover Page...------------.---------..,:'\/'111; - I Date of Election if applicable I.

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE CALIFORNIA 2001/02 460 Date of election if applicable: (Month, Day, Year) Page 1 of 24 For Official

More information

Date of election if applicable, (Month, Day, v f, July Dec Iii1! o. Treasurer(s) NAMt=OF-ffiEASURER MAILING ADDRESS CITY

Date of election if applicable, (Month, Day, v f, July Dec Iii1! o. Treasurer(s) NAMt=OF-ffiEASURER MAILING ADDRESS CITY Recipient Cmmittee Campaign Statement Cver Page I 1. Type f Recipient Cmmittee: frm July 1 2017 thrugh Dec 31 2017 Date f electin if applicable, (Mnth, Day, v f, '-11-- - - - - - - - - - ' 2. Type f Statement:

More information

Date of election if applicable ~ (Month, Day, Year) 711/17 12/31/17. Treasurer(s) NAME OF TREASURER CITY MAILING ADDRESS

Date of election if applicable ~ (Month, Day, Year) 711/17 12/31/17. Treasurer(s) NAME OF TREASURER CITY MAILING ADDRESS ~ecip,ient Cmmittee Campaign Statement Cver Page Date f electin if applicable ~ (Mnth, Day, Year) frm thrugh 1. Type f Recipient Cmmittee: I!lI 12/31/17 2. Type f Statement: All Cmmittees - Cmplete Parts

More information

o Recall 0 Controlled C Termination Statement ~ Supplemental Preelection

o Recall 0 Controlled C Termination Statement ~ Supplemental Preelection Recipient Committee ~ ~ print in mit C T~( ULrtiK~mp Campaign Statement CoverPage 29J N28 PH tpq3 (Government Code SectIons 842-842165) Statement coven period from Dte of election If applicabl: through

More information

Date of Election if applicable 11/06/2012. (Month, Day, Year) Treasurer(s) NAME OF TREASURER C. April Boling, C.P.A. STREET ADDRESS CITY.

Date of Election if applicable 11/06/2012. (Month, Day, Year) Treasurer(s) NAME OF TREASURER C. April Boling, C.P.A. STREET ADDRESS CITY. Recipient Committee Campaign Statement Cover Page Date of Election if applicable 11/06/2012 (Month, Day, Year) DateStartik, 1 CLE'eS 12 OCT Jo C COVER PAGE CALIFORNIA FORM ff-t A 60 Page 1 of 17 y e For

More information

Type or print in ink. (Month, Day, Year) For Official Use Only 07/01/ /19/ Treasurer(s) NAME OF TREASURER Trish Boorstein

Type or print in ink. (Month, Day, Year) For Official Use Only 07/01/ /19/ Treasurer(s) NAME OF TREASURER Trish Boorstein Recipient Committee Campaign Statement Covet Page RECEiVED (Government Code Sections 842-84216.5) SEP 2 4 3 Statement covets period Date of election if applicabic from 7/1/215 (Month, Day, Year) For Official

More information

I from January 22, 2017

I from January 22, 2017 Recipient Committee Campaign Statement Cover Page Date of election if applicable:7 (Month, Day, Year) I from January 22, 2017 February 18, 2017 March 7,2017 through COVER PAGE Date Stamp ( ( EL/L I Page

More information

Type or print in ink. r r Type of Statement: D Preelection Statement. o Amendment (Explain below) Treasurer(s)

Type or print in ink. r r Type of Statement: D Preelection Statement. o Amendment (Explain below) Treasurer(s) Reci pient Comm ittee Campaign Statement Cover (Government Code Sections 84200-84216.5) r---------------r------------4 from JA_N_1-,-, -,2_0_16 Date of election if appllcab;lep (Month, Day, Year),, ' i'~

More information

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections ) Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE 2001/02 FORM 460 Date of election if applicable: (Month, Day, Year) Page 1 of 63 For Official Use Only

More information

Statement covers period. Date of election if applicable: (Month. Day, Year) 1/1/2017 4I 1I Preelection Statement Committee.

Statement covers period. Date of election if applicable: (Month. Day, Year) 1/1/2017 4I 1I Preelection Statement Committee. Recipient Campaign Statement Cover Paae COVER PAGE Date Stamp Date of election if applicable: LOS ANGELES CITY ETHICS COMMISSIO i'! (Month. Day, Year) from through 1. Type of Recipient : 1/1/2017 4I 1I

More information

(Month, Day, Year) 01/22/17. 02/18/17 March El Amendment (Explain below) Treasurer(s) NAME OF TREASURER Bill Neiman

(Month, Day, Year) 01/22/17. 02/18/17 March El Amendment (Explain below) Treasurer(s) NAME OF TREASURER Bill Neiman .. - Recipient Committee Campaign Statement Cover Page Statement covers period Date of election if applicable: Ct, 01/22/17 (Month, Day, Year) Date Stamp -ly r r from ZflFEO2I P 02/18/17 March 7 2017.

More information

2: tnhar23 aurr (Month, Day, Year) J u liff '+ For Official Use Only

2: tnhar23 aurr (Month, Day, Year) J u liff '+ For Official Use Only ... Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Date Stamp COVER PAGE :. f~! -ti: r,, 1,.,,, ~ (._, l')~~o-~rvq '~ (~ ~ " ~ 1 11 L...;,. ;\,, ~----------~~~--fio~a;te~o;f~el~ec~ti~on~i;f~ap;p~uc~abibj;.je

More information

Date of election if applicable: (Month, Day, Year) Statement covers period 9/25/ /8/ /22/2016

Date of election if applicable: (Month, Day, Year) Statement covers period 9/25/ /8/ /22/2016 Recipient Committee Campaign Statement Cover Page Date of election if applicable: (Month, Day, Year) Date Stamp 2001/02 Page 1 of 46 For Official Use Only COVER PAGE 11/8/2016 1. Type of Recipient Committee:

More information

Cover Page Government Code Sections

Cover Page Government Code Sections y w e ptit Recipient om ee Campa Statement Cover Page Government Code Sections 84200 84216 5 l or print Statement corers period in ink o election ifs Month DaY p Icable far Stamp W Page o For Officia Use

More information

Type or print in ink. Ii2l Semi-annual Statement. o Termination Statement. (Also file a Form 410 Termination) (A/so Complete Part 5) Treasurer(s)

Type or print in ink. Ii2l Semi-annual Statement. o Termination Statement. (Also file a Form 410 Termination) (A/so Complete Part 5) Treasurer(s) Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 842-84216.5) Type r print in ink. Statement cvers perid frm 1/1115 f electin if applicable: (Mnth, Day, Year) C~TY Stamp \.( D7:'Cr'!"Ir::O

More information

11/08/16. Treasurer(s) MAILING ADDRESS

11/08/16. Treasurer(s) MAILING ADDRESS Recipient Committee Campaign Statement Cover Page ate Stamp COVER PAGE 4ma @~1111FB RJSH~ F RM 1111 from 09/25/16 Page_. of_l2 For Official Use Only through 10/22/16 11/08/16 1. Type of Recipient Committee:

More information

Type or print in ink. Statement covers period. Treasurer(s) NAME OF TREASURER SARIT JUDGE MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS

Type or print in ink. Statement covers period. Treasurer(s) NAME OF TREASURER SARIT JUDGE MAILING ADDRESS CITY AREA CODE/PHONE MAILING ADDRESS Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216.5) rm 7/1/13 f thrugh 12/31/13 f electin if applicable: (Mnth, ay, Year) Nv 2,2010 Stamp COVER PAGE I?[CE/VE. C!1r F Silli

More information

o Amendment (Explain below) Statement - Attach Form 495

o Amendment (Explain below) Statement - Attach Form 495 Recipient Committee Campaign Statement (Government Code Sections 84200-84216.5) Type or print in ink. Date Stamp COVER PAGE from 01/01/2008 Date of election if applicable: (Month, Day, Year) 1 /19 For

More information

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections ) Recipient Committee Campaign Statement Cover Page (Government Code Sections 8420084216.5) Type or print in ink Date Stamp 2001/02 FORM COVER PAGE 460 d Through Date of election if applicable: (Month, Day,

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) City and Zip. City and Zip CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 10/07 Section I Name Candidate or Political Committee and Chairperson Offi ce Sought (if candidate) Seat (if any) Mailing

More information

Type or print in ink. Date of election if applicable: (Month, Day, Year) Treasurer(s) NAME OF TREASURER Rosalyn Butala CITY.

Type or print in ink. Date of election if applicable: (Month, Day, Year) Treasurer(s) NAME OF TREASURER Rosalyn Butala CITY. Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) Statement cov rs period from ~ 13 through &/'$o/ 17 Date of election if applicable: (Month, Day, Year) 4/2/2013

More information

o Officeholder. Cancfldate Controlled Committee III Primarily Formed Ballot Measure State Candidate Election Committee

o Officeholder. Cancfldate Controlled Committee III Primarily Formed Ballot Measure State Candidate Election Committee Recipient Committee Campaign Statement Cover Page (Government Code SectIons 84200-84216.5) 'TYpe or print JANUARY 1, 2008 from in ink. Date of election if applicable: (Month. Day, Year) JUL. 2 ~ 2QQ~ 'AUL~NZAliZ,

More information

Date of election if (Month, Day, Statement covers period. 22 Oct of Statement: MAILING ADDRESS. CITY Oxnard. CITY Oxnard

Date of election if (Month, Day, Statement covers period. 22 Oct of Statement: MAILING ADDRESS. CITY Oxnard. CITY Oxnard COVER PAGE SEE NSTRUCTONS ON REVERSE Statement covers period ~om 25 216 22 Oct216 Date of election if (Month, Day, Nov 8, 216 1. of Committee: All Committees-complete Parts 1, 2, 3, amt 4. Offlr..,,hnl,rli:>r.

More information

B arespomllleoi!dirorsponsor &e tooon

B arespomllleoi!dirorsponsor &e tooon Recipient Committee Campaign Statement Cover Page (Government Code Section 842-84216.5) from Type or print In Ink. 11 1 1 2 14 Date of election if applica (Month, Day, Year) Date Stamp MAR 2 4 214 COVER

More information

Workshop for Candidates and Treasurers

Workshop for Candidates and Treasurers Workshop for Candidates and Treasurers Hosted by the County of Santa Cruz This workshop is designed for local candidates who plan to raise or spend $2,000 or more on their election. Presented by John Kim

More information

Type or print in ink. Date of election if applicable: (Month, Day, Year) 1\ /G I\~ 2. Type of Statement: tm. Amendment (Explain below) (nu.

Type or print in ink. Date of election if applicable: (Month, Day, Year) 1\ /G I\~ 2. Type of Statement: tm. Amendment (Explain below) (nu. Recipient Committee Campaign Statement Cover Page (Government Code Sections 8420084216.5) SEE INSTRUCTIONS ON REVERSE from :r Q..JJ 1) 'd 0 \ ;} through Se/\?"t 30, ddj'j.. Date of election if applicable:

More information

Date of election if appii (Month, Day, Year) Statement covers period. Treasurer(s) MAJL.ING ADDRESS. CITY Oxnard AREA CODE/PHONE MAILING ADDRESS

Date of election if appii (Month, Day, Year) Statement covers period. Treasurer(s) MAJL.ING ADDRESS. CITY Oxnard AREA CODE/PHONE MAILING ADDRESS Recipient Committee Campaign Statement Cover Page Statement covers period &.rom 9/25/216 _ Date of election if appii (Month, Day, Year) t: Ul tlm:iugh 1/22/216 November 8, 216 1. Type of Recipient Committee:

More information

F ftetp E IN SAN BENITO COUN

F ftetp E IN SAN BENITO COUN r~ecipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216)b SEE INSTRUCTIONS ~ t7\ r~"7'sn.r. ;: II'!!~ I!, t.j '--'".f! I.) n~h t \-;' 'l) U '{- I.. :'~~i I Type r print in ink.

More information

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES C-2 CAMPAIGN FINANCIAL DISCLOSURE REPORT Rev. 11/17 SUMMARY PAGE (Please Print or Type) Section I Name of candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any)

More information

I CALIFORNIA FORM 460

I CALIFORNIA FORM 460 Recipient Committee Campa ign Statement Cover Page (Government Code Sections 84200-84216.5) SEE INSTRUCTIONS ON REVERSE (c(o)[plr from March 18, 2010 May 22,2010 1. Type of Recipient Committee: All Committees

More information

the first report being filed 17. LOAN GUARANTEES RECEIVED... Schedule S. Part 2 $

the first report being filed 17. LOAN GUARANTEES RECEIVED... Schedule S. Part 2 $ Campaign Disclsure Statement Summary Page Type r print in ink. Amunts may be runded t whle dllars. Statement cvers perid frm 7/_1_/2_0_1_1 SUMMARY PAGE CALFORNA 460 FORM thrugh 1_2/_3_1_/2_0_1_1 Page 3,--_

More information

Candidates and Treasurers

Candidates and Treasurers Workshop for Candidates and Treasurers Hosted by: City of Anaheim Presented by: Deborah Hanephin External Affairs and Education Division Fair Political Practices Commission www.fppc.ca.gov advice@fppc.ca.gov

More information

M /~~~ t cn,4 )hn4see

M /~~~ t cn,4 )hn4see Recipient Committee Campaign Statement Cover Page (Government Code Sections 842OO-S42~6.5) Type or print In Ink. Statem nt vbvers period from Date of election if applicable; (Month. Day, Year) CITY CLERK

More information

APPENDIX A BLANK DISCLOSURE REPORTS

APPENDIX A BLANK DISCLOSURE REPORTS APPENDIX A BLANK DISCLOSURE REPORTS C-1 Appointment and Certification of Political Treasurer C-2 Campaign Disclosure Forms Detailed Summary Page C-4 Independent Expenditures C-5 48 Hour Notice of Contributions/Loans

More information

Subject: Addendum #1 to Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471)

Subject: Addendum #1 to Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471) Date: June 6, 2016 To: From: County Executive Office, Campaign Finance Staff Ventura County Clerk Subject: Addendum #1 to Report #2016-05 of Apparent Violation of the Ventura County Campaign Finance Reform

More information

Type or print in ink. A~me..r-.+- Date of election If applicable: (Month, Day, Year) Ii2I Amendment (Explain below) Treasurer(s)

Type or print in ink. A~me..r-.+- Date of election If applicable: (Month, Day, Year) Ii2I Amendment (Explain below) Treasurer(s) Recipient Cmmittee Campaign Statement Cver Page (Gvernment Cde Sectins 84200-84216.5) SEE INSTRUCTIONS ON REVERSE Type r print in ink. A~me..r-.+- 05-23-2010 frm 06-30-2010 1. Type f Recipient Cmmittee:

More information

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing

FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only For assistance in completing FINAL CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For State and District Candidates Only To be filed with: Mark Martin, Secretary of State For assistance in completing this form contact: Arkansas Ethics

More information

FOR CANDIDATES AND COMMITTEES (Please Print or Type)

FOR CANDIDATES AND COMMITTEES (Please Print or Type) C-1 APPOINTMENT AND CERTIFICATION OF POLITICAL TREASURER Rev. 11/17 FOR CANDIDATES AND COMMITTEES (Please Print or Type) Pursuant to Section 67-6603(c1), Idaho Code. No contribution shall be received or

More information

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT COVER SHEET PG 1 SPECIFIC-PURPOSE COMMITTEE FORM SPAC CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form 1 ACCOUNT # 2 Total pages filed: (Ethics Commission filers) 3

More information

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT FORM SPAC COVER SHEET PG 1 The SPAC Instruction Guide explains how to complete this form. 3 COMMITTEE NAME 1 Filer ID 2 Total pages filed: 8 FICE USE

More information

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM CEC COVER SHEET PG 1 The CEC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 COMMITTEE

More information

Major Donor and Independent Expenditure Committee Campaign Statement (Government Code Sect ons )

Major Donor and Independent Expenditure Committee Campaign Statement (Government Code Sect ons ) I Committee (Government Code Sect ons 8400-846.5) MAJOR DONOR AND INDEPENDENT EPENDITURE COMMITTEE STATEMENT Date Stamp CALIFORNIA 46 FORM Amendment from Statement covers period 07/0/04 Date of election

More information

LI Primary 1:1 Runoff LI Other

LI Primary 1:1 Runoff LI Other CANDIDATE I FICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 3 CANDIDATE! MS/MRS/MR FIRST MI FICEHOLDER NAME 1 Filer ID (Ethics

More information

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN Is This Report an Amendment: Yes No Instructions for completing schedules are on the back of each schedule. COMMITTEE IDENTIFICATION Name of Committee

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type)

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE (Please Print or Type) CAMPAGN FNANCAL DSCLOSURE REPORT SUMMARY PAGE (Please Print or Type) C-2 Rev. 12114 Section Name of Candidate or Political Committee and Chairperson Office Sought (if candidate) District (if any) reasurer

More information

CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates

CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates CAMPAIGN CONTRIBUTION AND EXPENDITURE REPORT For County, Municipal and School Board Candidates Check if this report is an amendment This report should be filed with the County Clerk of the county in which

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. Leonard etad CANDIDATE/OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: The C/OH Instruction Guide explains how to complete this form.

More information

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: c;ak.f. A. ... NICKNAME 311;~1/)I/

FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: c;ak.f. A. ... NICKNAME 311;~1/)I/ CANDIDATE/ OFFICEHOLDER FORM C/OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/OH Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2 Total pages filed: 3 CANDIDATE/

More information

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT STATE / COUNTY CHAIR SPECIFIC- COMMITTEE CAMPAIGN FINANCE REPORT FORM SC SPAC COVER SHEET PG 1 The SC SPAC Instruction Guide explains how to complete this form. 1 Filer ID (Ethics Commission Filers) 2

More information

FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I

FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1. 1 Filer ID ( Ethics Commission Filers) 2 Total pages filed: Mr. Robert Date Processed I I by Texas Ethics Commission www. ethics. state. tx. us Revised 9/ 8/ 2015 SCANNED CANDIDATE / OFFICEHOLDER FORM C/ OH CAMPAIGN FINANCE REPORT COVER SHEET PG 1 The C/ OH Instruction Guide explains how to

More information

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD )

Texas Ethics Commission P.O. Box Austin, Texas (512) (TDD ) MONTHLY FILING COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT FORM MCEC COVER SHEET PG 1 The MCEC Instruction Guide explains how to complete this form. 1 ACCOUNT # (Ethics Commission Filers) 2 Total

More information

Finance Checklist and GAB - Campaign Finance Overview Local Candidates

Finance Checklist and GAB - Campaign Finance Overview Local Candidates TOWN OF VERNON WAUKESHA COUNTY WISCONSIN 2018 Finance Checklist and GAB - Campaign Finance Overview Local Candidates (For additional resources and information please visit the Wisconsin Elections and Ethics

More information

Instructions - Form R-1

Instructions - Form R-1 Instructions - Form R-1 Do not complete the front cover of the Form R-1 until all schedules are completed. Submit every schedule of the Form R-1 when filing the report. If there is no activity to report,

More information

Statement covers period Date of election if applicable: (Month 6/30/ /8/ Type of Statement: \i2l Preelection Statement.

Statement covers period Date of election if applicable: (Month 6/30/ /8/ Type of Statement: \i2l Preelection Statement. Recipient Cmmittee Campaign Statement Cver Page INSTRUCTIONS ON CLERK SEP 29 Statement cvers perid Date f electin if applicable: (Mnth 6/3/216 frm 1.4 9/ee,/216 11/8/216 thrugh 1. Type f Recipient Cmmittee:

More information

Subject: Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471)

Subject: Report # of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance (No. 4471) Date: June 30, 2016 To: From: County Executive Office, Campaign Finance Staff Ventura County Clerk Subject: Report #2016-08 of Apparent Violation of the Ventura County Campaign Finance Reform Ordinance

More information

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE. Please Print or Type) STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE. Please Print or Type) STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES CAMPAIGN FINANCIAL DISCLOSURE REPORT SUMMARY PAGE Please Print or Type) C-2 Rev. 12/ 14 Name of Candidate or Political Committee and Chairperson Office Sought (d candidate) District (d any) Brian C. Raybon

More information

Summary Page. TYPE OF REPORT Original = 30 Day Post - Primary Report. 30 Day Post -General Report. No=

Summary Page. TYPE OF REPORT Original = 30 Day Post - Primary Report. 30 Day Post -General Report. No= C- 2 Campaign Financial Disclosure Report Rev. 1/ 18 Summary Page Please print or type SECTION I Name of Candidate or Political Committee & Chairperson Office Sought ( if candidate) District ( if any)

More information