Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Similar documents
Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections )

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Use the Form 460 to file any of the following:

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

0 Political Party/ Central Committee

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

Use the Form 460 to file any of the following:

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

Use the Form 460 to file any of the following:

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

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

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

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

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

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

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

o Sponsored Small Contributor Committee

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

Recipient Committee Campaign Statement (Government Code Sections )

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

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

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

o Amendment (Explain below)

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Recipient Committee Campaign Statement (Government Code Sections )

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

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

Recipient Committee Campaign Statement Cover Page

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

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

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

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. Jan 1, March 17,2008. IZI Preelection Statement. Treasurer(s) OF TREASURER (831)

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

Recipient Committee Campaign Statement (Government Code Sections )

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

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

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

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

o Primarily Formed Candidatel

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

o Recall 0 Controlled C Termination Statement ~ Supplemental Preelection

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.

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

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

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

I from January 22, 2017

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 Committee Campaign Statement Cover Page (Government Code Sections )

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

Cover Page Government Code Sections

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

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

o Amendment (Explain below) Statement - Attach Form 495

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

STATEMENT OF NO CONTRIBUTIONS OR EXPENDITURES

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

B arespomllleoi!dirorsponsor &e tooon

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

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.

APPENDIX A BLANK DISCLOSURE REPORTS

I CALIFORNIA FORM 460

FOR CANDIDATES AND COMMITTEES (Please Print or Type)

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

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

F ftetp E IN SAN BENITO COUN

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

Instructions - Form R-1

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

M /~~~ t cn,4 )hn4see

Candidates and Treasurers

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

SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

COUNTY EXECUTIVE COMMITTEE CAMPAIGN FINANCE REPORT

CAMPAIGN FINANCE REPORT LOCAL COMMITTEES OF WISCONSIN

Workshop for Candidates and Treasurers

STATE / COUNTY CHAIR SPECIFIC-PURPOSE COMMITTEE CAMPAIGN FINANCE REPORT

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

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

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

CAMPAIGN FINANCE REPORT WISCONSIN LOCAL COMMITTEE

Campaign Finance Reports Handbook of Instructions

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

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

Recipient Committee Campaign Statement Cover Page (Government Code Sections )

Finance Checklist and GAB - Campaign Finance Overview Local Candidates

JUDICIAL CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

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. hzi Semi-annual Statement Special Odd-Year Report. o Amendment (Explain below) Treasurer(s) NAME OF TREASURER MAILING ADDRESS

CANDIDATE / OFFICEHOLDER CAMPAIGN FINANCE REPORT

Contents. Completing the CFA-4 Form Contributions Expenditures Debts Disband Important Items

Transcription:

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 21:33:48 Filing ID: 173875141 FORM Page 1 of 18 For Official Use Only COVER PAGE 460 1. Type of Recipient Committee: All Committees Complete Parts 1, 2, 3, and 4. Officeholder, Candidate Controlled Committee State Candidate Election Committee Recall (Also Complete Part 5) General Purpose Committee Sponsored Small Contributor Committee Political Party/Central Committee 1408611 MITTEE NAME (OR CANDI S NAME IF NO MITTEE) Drew Combs for Menlo Park Council 2018 3. Committee Information Primarily Formed Ballot Measure Committee Controlled Sponsored (Also Complete Part 6) Primarily Formed Candidate/ Officeholder Committee (Also Complete Part 7) 2. Type of Statement: Preelection Statement Semi-annual Statement Termination Statement (Also file a Form 410 Termination) Amendment (Explain below) Treasurer(s) NAME OF TREASURER Shaun Maguire MAILING ADDRESS Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 STREET ADDRESS (NO P.O. BO) CITY STATE ZIP CODE AREA CODE/PHONE Menlo Park CA 94025 (650)325-7299 MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BO CITY STATE ZIP CODE AREA CODE/PHONE Menlo Park CA 94025 (650)325-7299 NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FA / E-MAIL ADDRESS maguires@pacbell.net OPTIONAL: FA / E-MAIL ADDRESS maguires@pacbell.net 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 under the laws of the State of California that the foregoing is true and correct. Executed on Executed on 09/25/2018 By Shaun M. Maguire Date Signature of Treasurer or Assistant Treasurer 09/25/2018 By Andrew Combs Date Signature of Controlling Officeholder, Candidate, State Measure Proponent or Responsible Officer of Sponsor Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on Date By Signature of Controlling Officeholder, Candidate, State Measure Proponent

Recipient Committee Campaign Statement Cover Page Part 2 COVER PAGE - PART 2 FORM 460 Page 2 of 18 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDI 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE Andrew Combs OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member: City of Menlo Park District 2 BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Menlo Park CA 94025 Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDI, OR PROPONENT Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY MITTEE NAME NAME OF TREASURER MITTEE ADDRESS CONTROLLED MITTEE? YES NO STREET ADDRESS (NO P.O. BO) 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 CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE MITTEE NAME NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE NAME OF TREASURER MITTEE ADDRESS CONTROLLED MITTEE? YES NO STREET ADDRESS (NO P.O. BO) NAME OF OFFICEHOLDER OR CANDI OFFICE SOUGHT OR HELD SUPPORT OPPOSE CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary

Campaign Disclosure Statement Summary Page FORM SUMMARY PAGE 460 SEE INSTRUCTIONS ON REVERSE Page 3 of 18 Contributions Received 1. Monetary Contributions... Schedule A, Line 3 6,89 6,89 2. Loans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines 1 + 2 10,89 10,89 4. Nonmonetary Contributions... Schedule C, Line 3 Column A TOTAL THIS (FROM ATTACHED SCHEDULES) Column B TOTAL TO 4,00 4,00 639.95 639.95 5. TOTAL CONTRIBUTIONS... Add Lines 3 + 4 11,529.95 11,529.95 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 6/30 7/1 to Date 20. Contributions Received 21. Expenditures Made Expenditures Made 6. Payments Made... Schedule E, Line 4 3,032.87 3,032.87 7. Loans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS... Add Lines 6 + 7 3,032.87 3,032.87 9. Accrued Expenses (Unpaid Bills)... Schedule F, Line 3 10. Nonmonetary Adjustment... Schedule C, Line 3 11. TOTAL EPENDITURES MADE...Add Lines 8 + 9 + 10 639.95 3,672.82 639.95 3,672.82 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 Current Cash Statement 12. Beginning Cash Balance... Previous Summary Page, Line 16 13. Cash Receipts... Column A, Line 3 above 14. Miscellaneous Increases to Cash... Schedule I, Line 4 15. Cash Payments... Column A, Line 8 above 16. ENDING CASH BALANCE... Add Lines 12 + 13 + 14, then subtract Line 15 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES... Schedule B, Part 2 Cash Equivalents and Outstanding Debts 18. Cash Equivalents... See instructions on reverse 10,89 3,032.87 7,857.13 To calculate Column B, add amounts in Column A to the corresponding amounts Column B of your last report. Some amounts in Column A may be negative figures that should be subtracted previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts Lines 2, 7, and 9 (if any). / / *Amounts in this section may be different amounts reported in Column B. 19. Outstanding Debts... Add Line 2 + Line 9 in Column B above 4,00

Schedule A Monetary Contributions Received FORM SCHEDULE A 460 SEE INSTRUCTIONS ON REVERSE Page 4 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 08/05/2018 Henry Organ -2673 08/12/2018 Ms. Karen Rohlf 08/12/2018 Mr. Stephen Schmidt 08/12/2018 Mr. Stuart Soffer 08/12/2018 Ms. Miriam Winkler Palo Alto, CA 94304 CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Accountant Self None ipriori Inc Consultant None SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 10 15 G2018 15 10 10 G2018 10 20 220.95 G2018 220.95 20 20 G2018 20 15 15 G2018 15 75 Schedule A Summary 1. Amount received this period itemized monetary contributions. (Include all Schedule A subtotals.)... 2. Amount received this period unitemized monetary contributions of less than 100... 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)... TOTAL 6,88 1 6,89 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 5 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 08/16/2018 Mr. Joseph Molimock San Francisco, CA 94110 08/18/2018 Ms. Kelly Fergusson 08/18/2018 Mr. Henry Riggs 08/20/2018 Mr. Brian Cutcliffe 08/22/2018 Mr. Shaun Maguire CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Operations Manager Facebook Clean Energy Executive Engie Services US Architect Self Physician TPMG None SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 25 25 G2018 25 25 25 G2018 25 25 25 G2018 25 10 10 G2018 10 15 15 G2018 15 1,00 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 6 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 08/25/2018 Karen Grove 08/26/2018 Alba Holgado 08/26/2018 Martin Pearce Mountain View, CA 94040 08/26/2018 Yehbin Song 08/26/2018 Victoria Tregoning CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) None None Digital Academic Specialist Stanford University Manager Trimble Imp. Finance Stanford University Therapist Self SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 10 10 G2018 10 20 20 G2018 20 20 20 G2018 20 10 10 G2018 10 10 10 G2018 10 70 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 7 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 08/27/2018 Kristin Duriseti 08/27/2018 Philip Mazzara 08/27/2018 Jennifer Pien 08/27/2018 Mahra Teikmanis 08/29/2018 Mary Beth Richardson CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Student Attorney Innovium Inc. Physician Stanford University School of Medicine None Healthcare Consultant Self-employed SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 10 10 G2018 10 10 10 G2018 10 20 20 G2018 20 15 15 G2018 15 15 15 G2018 15 70 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 8 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 08/30/2018 Lynne Bramlett 08/30/2018 James Clendenin 08/30/2018 Russell Dember 08/30/2018 Sarah Ordaz 08/30/2018 Henry Organ -2673 CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) public school teacher none Physicist Psychologist Self SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 10 10 G2018 10 10 10 G2018 10 10 10 G2018 10 4 4 G2018 4 5 15 G2018 15 39 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 9 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 09/01/2018 Jane Garratt 09/02/2018 Brooks Esser 09/03/2018 Kristi Berg 09/04/2018 Joel Berman 09/05/2018 Christie Ma Palo Alto, CA 94301 CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Teacher Marketing Manager Hewlett Packard Enterprise Therapist Communications Officer Stanford University Consultant Self Employed SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 10 10 G2018 10 10 10 G2018 10 25 74 G2018 74 10 10 G2018 10 5 5 G2018 5 60 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 10 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 09/07/2018 Julie Shanson 09/08/2018 Marc Berman for Assembly 2018 FPPC # 1392758 Menlo Park, CA 94026-7176 09/09/2018 Patrick Gardner 09/09/2018 Michael Perez 09/09/2018 Katherine Strehl CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Cooking Teacher Self Lawyer Self-employed Educational Consultant Self-employed SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 10 10 G2018 10 10 10 G2018 10 20 20 G2018 20 5 5 G2018 5 25 30 G2018 30 70 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 11 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 09/10/2018 Eric Seidel 09/12/2018 George Fisher 09/16/2018 Gary Wagner 09/18/2018 Ellen Macneale 09/18/2018 Rosser Wilson CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Engineering Manager Google Lawyer Self-Employed Electronic Engineer Self-employed none Engineer none SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 15 15 G2018 15 50 50 G2018 50 10 10 G2018 10 10 10 G2018 10 15 15 G2018 15 1,00 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule A (Continuation Sheet) Monetary Contributions Received SCHEDULE A (CONT.) Page 12 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 09/21/2018 Peter Carpenter 09/21/2018 Julie Foster CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Financial Analyst None currently SUBTOTAL AMOUNT THIS CUMULATIVE TO (JAN. 1 - DEC. 31) TO 1,00 1,00 G2018 1,00 4 4 G2018 4 1,04 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule B Part 1 Loans Received SCHEDULE B - PART 1 SEE INSTRUCTIONS ON REVERSE Page 13 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF LENDER (IF MITTEE, ALSO ENTER ) Mr. Drew Combs IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Executive Facebook (a) OUTSTANDING AMOUNT BALANCE THIS BEGINNING THIS (b) (c) (d) (e) OUTSTANDING AMOUNT PAID BALANCE AT OR FORGIVEN CLOSE OF THIS THIS * PAID FORGIVEN 50 INTEREST PAID THIS 0% % RATE (f) ORIGINAL AMOUNT OF LOAN 50 (g) CUMULATIVE CONTRIBUTIONS TO 4,029.00 ** Mr. Drew Combs Executive Facebook 50 PAID FORGIVEN 12/31/2018 DUE 50 0% % RATE INCURRED 50 G2018 4,029.00 4,029.00 ** Mr. Drew Combs Executive Facebook 50 PAID FORGIVEN 12/31/2018 DUE 3,00 0% % RATE 08/08/2018 INCURRED 3,00 G2018 4,029.00 4,029.00 ** 3,00 DUE 08/11/2018 INCURRED G2018 4,029.00 SUBTOTALS 4,00 4,00 Schedule B Summary 1. Loans received this period... (Total Column (b) plus unitemized loans of less than 100.) 2. Loans paid or forgiven this period... (Total Column (c) plus loans under 100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 Line 1.)... NET Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. 4,00 4,00 (May be a negative number) (Enter (e) on Schedule E, Line 3) Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule C Nonmonetary Contributions Received SCHEDULE C SEE INSTRUCTIONS ON REVERSE Page 14 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 08/07/2018 Mr. Drew Combs 08/26/2018 Kristi Berg 09/09/2018 Katherine Strehl 09/16/2018 Larry Kahle CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) Executive Facebook Therapist Architect Metropolis Architecture DESCRIPTION OF GOODS OR SERVICES Payment by Candidate for first month of website monthly fee Food, Beverages and Supplies for Kick-off party hosted for approx. 50 guests. Refreshments for hosted meet and greet event at Strehl residence Refreshments for campaign neighborhood meet and greet AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) TO 29.00 4,029.00 G2018 4,029.00 49 74 G2018 74 5 30 G2018 30 5 5 G2018 5 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL 619.00 Schedule C Summary 1. Amount received this period itemized nonmonetary contributions. (Include all Schedule C subtotals.)... 2. Amount received this period unitemized nonmonetary contributions of less than 100... 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)... TOTAL 639.95 639.95 Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee

Schedule C (Continuation Sheet) Nonmonetary Contributions Received SCHEDULE C (CONT.) SEE INSTRUCTIONS ON REVERSE Page 15 of 18 FULL NAME, STREET ADDRESS AND ZIP CODE OF (IF MITTEE, ALSO ENTER ) 09/18/2018 Mr. Stephen Schmidt CODE * IF AN IVIDUAL, ENTER (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) None DESCRIPTION OF GOODS OR SERVICES Supplies for Drinks event at Penelope's AMOUNT/ FAIR MARKET VALUE CUMULATIVE TO (JAN 1 - DEC 31) TO 20.95 220.95 G2018 220.95 Attach additional information on appropriately labeled continuation sheets. SUBTOTAL 20.95

Schedule E Payments Made SCHEDULE E SEE INSTRUCTIONS ON REVERSE Page 16 of 18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF MITTEE, ALSO ENTER ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Menlo Park FIL Cashier's Check for Filing fees with City for 8/9/18 Filing 20 FedExOffice CMP Printing 50.19 San Jose Signs San Jose, CA 95138 CMP Campaign Lawn Signs 636.00 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 886.19 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 Schedule B, Part 1, Column (e).)... 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL 2,754.18 278.69 3,032.87 FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE Page 17 of 18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF MITTEE, ALSO ENTER ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID FedExOffice CMP Printing at Kinko 57.97 FedExOffice CMP Copying at Kinko 0.44 San Jose Signs San Jose, CA 95138 CMP Lawn Signs 636.00 San Mateo County Elections San Mateo, CA 94202 FIL Filing Fees 125.00 UP2U Print CMP Printing 179.85 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 999.26 FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)

Schedule E (Continuation Sheet) Payments Made SCHEDULE E (CONT.) SEE INSTRUCTIONS ON REVERSE Page 18 of 18 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)* OFC office expenses SAL campaign workers salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF MITTEE, ALSO ENTER ) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID UP2U Print CMP Printing 280.13 San Jose Signs San Jose, CA 95138 CMP Lawn Signs 588.60 * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL 868.73 FPPC Toll-Free Helpline: 866/ASK-FPPC (866/275-3772)