Recipient Committee Campaign Statement Cover Page (Government Code Sections )
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1 Recipient Committee Campaign Statement Cover Page (Government Code Sections ) SEE INSTRUCTIONS ON REVERSE Date of election if applicable: (Month, Day, Year) 11/03/2014 Date Stamp E-Filed 08/01/ :05:18 Filing ID: FORM Page 1 of 13 For Official Use Only COVER PAGE 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 MITTEE NAME (OR CANDI S NAME IF NO MITTEE) Friend of Darcie Green for County Trustee 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 desiree green MAILING ADDRESS Quarterly Statement Special Odd-Year Report Supplemental Preelection Statement - Attach Form 495 STREET ADDRESS (NO P.O. BO) CITY STATE ZIP AREA /PHONE san jose CA (408) MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BO CITY STATE ZIP AREA /PHONE san jose CA (408) NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP AREA /PHONE CITY STATE ZIP AREA /PHONE OPTIONAL: FA / ADDRESS darcie.green@gmail.com OPTIONAL: FA / ADDRESS dezigreen@yahoo.com 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 07/31/2014 By darcie green Date Signature of Treasurer or Assistant Treasurer 08/01/2014 By desiree green 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 State of California
2 Recipient Committee Campaign Statement Cover Page Part 2 COVER PAGE - PART 2 FORM 460 Page 2 of Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDI 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE darcie green OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Board of Education trustee area 6: santa clara county BALLOT NO. OR LETTER JURISDICTION SUPPORT OPPOSE RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP san jose CA 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 AREA /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 AREA /PHONE Attach continuation sheets if necessary State of California
3 Campaign Disclosure Statement Summary Page FORM SUMMARY PAGE 460 SEE INSTRUCTIONS ON REVERSE Page 3 of 13 Contributions Received 1. Monetary Contributions... Schedule A, Line 3 $ 9,98 $ 9,98 2. Loans Received... Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS... Add Lines $ 9,98 $ 9,98 4. Nonmonetary Contributions... Schedule C, Line 3 Column A TOTAL THIS (FROM ATTACHED SCHEDULES) Column B TOTAL TO 5. TOTAL CONTRIBUTIONS... Add Lines $ 9,98 $ 9,98 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 $ $ 7. Loans Made... Schedule H, Line 3 8. SUBTOTAL CASH PAYMENTS... Add Lines $ $ 9. Accrued Expenses (Unpaid Bills)... Schedule F, Line Nonmonetary Adjustment... Schedule C, Line TOTAL EPENDITURES MADE...Add Lines $ $ 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 Cash Payments... Column A, Line 8 above 16. ENDING CASH BALANCE... Add Lines , 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 $ 9,98 9, 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 Schedule A FORM SCHEDULE A 460 SEE INSTRUCTIONS ON REVERSE Page 4 of 13 (IF MITTEE, ALSO ENTER ) 06/20/2014 derrick seaver san jose, CA /21/2014 mohinder mann san jose, CA /24/2014 GRACE MAH PALO ALTO, CA /25/2014 JASON BAKER CAMPBELL, CA /25/2014 CHRIS BOYD SANTA CLARA, CA IF AN IVIDUAL, ENTER director of public policy san jose sillicon valley chamber of commerce attorney the mann law firm SCHOOL BOARD MEMBER SSCOE COUNCILMEMBER CITY OF CAMPBELL ADMIN KAISER PERMANENTE THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $ G2014 $ 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 $ $ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)... TOTAL $ 8, , Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee 9,98
5 Page 5 of 13 (IF MITTEE, ALSO ENTER ) 06/25/2014 susan ellenberg san jose, CA /25/2014 CATHERINE GIAMMONA SAN JOSE, CA /25/2014 carole kaye santa clara, CA /25/2014 ANGELICA RAMOS FREMONT, CA /26/2014 AL& CARMEN CATELLANO SARATOGA, CA IF AN IVIDUAL, ENTER educator yavneh day school EDUCATOR RETIRED educator mountain View-Los Altos High School District POLITICAL CONSULATANT SELF PHILANTHROPIST RETIRED THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $10 1,00 1,00 G2014 $1,00 1,40 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
6 Page 6 of 13 (IF MITTEE, ALSO ENTER ) 06/26/2014 CAROL GARVEY san JOSE, CA /26/2014 JIM GRIFFITH SUNNYVALE, CA /26/2014 JOE GUERRA SAN JOSE, CA /26/2014 PAUL HIGGINS CAMPBELL, CA /26/2014 WENDY HO SAN JOSE, CA IF AN IVIDUAL, ENTER RETIRED NONE SENIOR IOS SOFTWARE ENGINEER APPLE CONSULATANT SELF MUNICATIONS CONSAULTANT SELF ADVOCACY MANAGER UNITED WAY SILICON VALLEY THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $ G2014 $15 70 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
7 Page 7 of 13 (IF MITTEE, ALSO ENTER ) 06/26/2014 NORMAN KILINE SAN JOSE, CA /26/2014 ISABEL STENZEL BRYNES REDWOOD CITY, CA /26/2014 MICHAEL TSUTSUMI SAN JOSE, CA /26/2014 ARLAN WELCH LOS GATOS, CA /26/2014 STEPHEN WRIGHT DUBLIN, CA IF AN IVIDUAL, ENTER CEO LIBRARY WORLD INC SOCIAL WORKER MISSION HOSPICE PROJECT MANAGER VIVID GLOBAL MARKETING MANAGER SILICON VALLEY EDUCATION FOUNDATION SENIOR VICE PRESIDENT SILICON VALLEY LEADERSHIP GROUP THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $ G2014 $10 70 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
8 Page 8 of 13 (IF MITTEE, ALSO ENTER ) 06/27/2014 TERESA ALVARADO SAN JOSE, CA /27/2014 chandra brooks san jose, CA /27/2014 MAYRA CRUZ SAN JOSE, CA /27/2014 ann grabowski san jose, CA /27/2014 margot hardy san jose, CA IF AN IVIDUAL, ENTER DEPT ADMIN OFFICER SANTA CLARA VALLEY WATER DISTRICT business and community relations director san jose job corp PROFESSOR DEANZA COLLEGE policy analyst city of san jose communications manager kaiser permanente THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $ G2014 $10 90 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
9 Page 9 of 13 (IF MITTEE, ALSO ENTER ) 06/27/2014 chris kelly atherton, CA /27/2014 EMILY LAM SAN MATEO, CA /27/2014 CAMILLE LLANES-FONTANILLA SAN JOSE, CA /27/2014 HANH NGUYEN SAN JOSE, CA /27/2014 EMILY RAMOS FREMONT, CA IF AN IVIDUAL, ENTER INVESTOR SELF PUBLIC POLICY SILICON VALLEY LEADERSHIP GROUP EECUTIVE DIRECTOR SOOS MAYFAIR PUBLIC AFFAIRS KAISER PERMANENTE WEBSITE AND MEDIA SPECIALIST THE TECH MUSEUM OF INNOVATION THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $ G2014 $10 90 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
10 Page 10 of 13 (IF MITTEE, ALSO ENTER ) 06/28/2014 MARC BERMAN PALO ALTO, CA /28/2014 GERALD ENCINIAS PALO ATO, CA /28/2014 RAJAN NHANDARI LOS ALTOS HILLS, CA /29/2014 LORAINE GUERIN SAN JOSE, CA /29/2014 LENNIES GUTIERREZ OAKLAND, CA IF AN IVIDUAL, ENTER COUNCIL MEMBER CITY OF PALO ALTO DIAGNOSTIC IMAGING SUPERVISOR LUCILE PACKARD CHILDREN'S HOSPITAL PHYSICIAN LEADER KAISER PERMANENTE ADMINISTRATOR SGI DIRECTOR OF GOVERNMENT AFFAIRS CAST THIS CUMULATIVE TO TO G2014 $ G2014 $ G2014 $ G2014 $ G2014 $10 95 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
11 Page 11 of 13 (IF MITTEE, ALSO ENTER ) hernandez assembly 2014 los angeles, CA raul bocanegra sacramento, CA Todd Boyer san jose, CA joseph di salvo san jose, CA william james los altos, CA IF AN IVIDUAL, ENTER na na legislator state of ca lawyer littler trustee/consultant sccoe/self attonery van pelt yi& james llp THIS CUMULATIVE TO TO G2014 $50 1,00 1,00 G2014 $1, G2014 $ G2014 $ G2014 $25 2,07 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
12 Page 12 of 13 (IF MITTEE, ALSO ENTER ) SOUSAN MANTEGHI-SAFAKISH SAN MARTIN, CA IF AN IVIDUAL, ENTER MANAGER ETA-USA THIS CUMULATIVE TO TO G2014 $15 15 Contributor Codes Individual Recipient Committee (other than or ) Other (e.g., business entity) Political Party Small Contributor Committee
13 Schedule E Payments Made SCHEDULE E SEE INSTRUCTIONS ON REVERSE Page 13 of 13 S: 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, ) NAME AND ADDRESS OF PAYEE (IF MITTEE, ALSO ENTER ) OR DESCRIPTION OF PAYMENT PAID democracy.com new york, NY processing fees Payments that are contributions or independent expenditures must also be summarized on Schedule D. Schedule E Summary 1. Itemized payments made this period. (Include all Schedule E subtotals.)... $ 2. Unitemized payments made this period of under $ $ 3. Total interest paid this period on loans. (Enter amount Schedule B, Part 1, Column (e).)... $ 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.)... TOTAL $
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 2001/02 FORM Page 1 of 23 For Official Use Only
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) 11/04/2014 Date Stamp E-Filed 07/26/2014
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 46 For Official Use Only COVER PAGE
Recipient Committee Campaign Statement Cover Page (Government Code Sections )
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) E-filed on: 01/31/2012 13:09:06 Date of election if applicable: (Month, Day, Year) Date Stamp FORM Page 1 of 47
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 07/31/2017 17:31:52 Filing ID: 165562800
COVER PAGE Recipient Committee. - L Statement covers period Date of election if applicable: (Month, Day, Year) For Official Use Only
COVER PAGE Recipient Committee Date Stamp Campaign Statement Cover Page - L Statement covers period Date of election if applicable: Janua 22 2017 (Month, Day, Year) For Official Use Only from, 1L1 February
Statement covers period Date of election if applicable: (Month, Day, Year) February 19, Termination Statement. LI Amendment (Explain below)
- Recipient Committee Campaign Statement Cover Page Date of election if applicable: (Month, Day, Year) February 19, 2017 June3O,2017 March72Ol7 SEE INSTRUCTIONS ON REVERSE through Cl Date Stamp I oj For
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 38 For Official Use Only COVER PAGE
Type or print in ink. Date of election if appiicable (Month, Day, Year) 9f?ofaól7_. LI Semi-annual Statement LI Special Odd-Year Report
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-8421 6.5) SEE NSTRUCTONS ON REVERSE from 7jlr2 through 9f?ofaól7_ Date of election if appicable (Month, Day, Year) 1. Type
Late Contribution Report
/08/2005 Page1 of (IF MITTEE, ALSO ENTER I.D. NUMBER) IF AN IVIDUAL $5,000.00 /07/2005 3M St. Paul, MN 55144 /07/2005 Allbright Cotton $,000.00 Fresno, CA 93722 /07/2005 American Insurance Association
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Recipient Committee Campaign Statement Cover Page (Government Code Sections 8420084218.5) from Type or print in ink. Date Stamp Statement covers period Date election if applicable: OCT RECEVED. 6 2014
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- 0 Amendment Recipient Committee Campaign Statement Covet Page - Statement covers period Date of election if applicable:tm L L (Month Day Year) from February 19, 2017 Date Stamp llfl JUL 28 P 12: Page
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