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Page of
COVERPAGE-PART2
CALIFORNIAFORM
Recipient CommitteeCampaign StatementCover Page — Part 2
460
5. Officeholder or Candidate Controlled CommitteeNAMEOFOFFICEHOLDERORCANDIDATE
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.
NAMEOFTREASURER
COMMITTEENAME
YES NO
I.D.NUMBER
CONTROLLEDCOMMITTEE?
COMMITTEEADDRESS STREETADDRESS(NOP.O.BOX)
CITY STATE ZIPCODE AREACODE/PHONE
OFFICESOUGHTORHELD(INCLUDELOCATIONANDDISTRICTNUMBERIFAPPLICABLE)
RESIDENTIAL/BUSINESSADDRESS(NO.ANDSTREET) CITY STATE ZIP
NAMEOFTREASURER
COMMITTEENAME
YES NO
I.D.NUMBER
CONTROLLEDCOMMITTEE?
COMMITTEEADDRESS STREETADDRESS(NOP.O.BOX)
CITY STATE ZIPCODE AREACODE/PHONE
6. Primarily Formed Ballot Measure CommitteeNAMEOFBALLOTMEASURE
DISTRICTNO.IFANY
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAMEOFOFFICEHOLDER,CANDIDATE,ORPROPONENT
OFFICESOUGHTORHELD
JURISDICTIONSUPPORTOPPOSE
BALLOTNO.ORLETTER
7. Primarily Formed Candidate/Officeholder Committee List names of officeholder(s) or candidate(s) for which this committee is primarily formed.
NAMEOFOFFICEHOLDERORCANDIDATE
NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELD
OFFICESOUGHTORHELDSUPPORTOPPOSE
SUPPORTOPPOSE
NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELDSUPPORTOPPOSE
Attach continuation sheets if necessary
NAMEOFOFFICEHOLDERORCANDIDATE OFFICESOUGHTORHELDSUPPORTOPPOSE
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2 9
Recall of Council Member Herb Perez
City of Foster City✔
SEEINSTRUCTIONSONREVERSENAMEOFFILER
Campaign Disclosure StatementSummary Page
Page of
Amounts may be roundedto whole dollars.
I.D.NUMBER
Current Cash Statement12.BeginningCashBalance............................ Previous Summary Page, Line 16 $
13.CashReceipts........................................................... Column A, Line 3 above
14.MiscellaneousIncreasestoCash.................................. Schedule I, Line 4
15.CashPayments......................................................... 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.
CALIFORNIAFORM
SUMMARYPAGE
Expenditures Made6. PaymentsMade................................................................ Schedule E, Line 4 $ $
7. LoansMade....................................................................... Schedule H, Line 3
8. SUBTOTALCASHPAYMENTS.......................................... Add Lines 6 + 7 $ $
9. AccruedExpenses(UnpaidBills)..........................................Schedule F, Line 3
10.NonmonetaryAdjustment.........................................................Schedule C, Line 3
11.TOTALEXPENDITURESMADE........................................ Add Lines 8 + 9 + 10 $ $
17.LOANGUARANTEESRECEIVED................................ Schedule B, Part 2 $
Cash Equivalents and Outstanding Debts18. CashEquivalents................................................ See instructions on reverse $
19. OutstandingDebts.............................. Add Line 2 + Line 9 in Column B above $
Contributions Received
1. MonetaryContributions................................................... Schedule A, Line 3 $ $
2. LoansReceived................................................................ Schedule B, Line 3
3. SUBTOTALCASHCONTRIBUTIONS.............................. Add Lines 1 + 2 $ $
4. NonmonetaryContributions............................................ Schedule C, Line 3
5. TOTALCONTRIBUTIONSRECEIVED....................................Add Lines 3 + 4 $ $
460Statement covers period
from
through
Column BCALENDARYEARTOTALTODATE
Column ATOTALTHISPERIOD
(FROMATTACHEDSCHEDULES)
Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 1/1 through6/30 7/1 toDate
20. Contributions Received $ $
21. Expenditures Made $ $
Expenditure Limit Summary for State Candidates
*AmountsinthissectionmaybedifferentfromamountsreportedinColumnB.
DateofElection(mm/dd/yy)
TotaltoDate
22. Cumulative Expenditures Made* (If Subject to Voluntary Expenditure Limit)
TocalculateColumnB,addamountsinColumnAtothecorrespondingamountsfromColumnBofyourlastreport.SomeamountsinColumnAmaybenegativefiguresthatshouldbesubtractedfrompreviousperiodamounts.Ifthisisthefirstreportbeingfiledforthiscalendaryear,onlycarryovertheamountsfromLines2,7,and9(ifany).
/ /
/ /
$
$
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 3 9
Committee to Recall Council Member Herb Perez 1418889
6136
-$4900
1236
0
1236
7435
0
7435
-500
0
6935
6277
$1236
0
$7435
78
0
0
0
17357
0
17357
0
17357
16012
$0
16012
0
0
16012
Schedule AMonetary Contributions Received
Page of
Amounts may be roundedto whole dollars.
PERELECTIONTODATE
(IFREQUIRED)
CUMULATIVETODATECALENDARYEAR(JAN.1-DEC.31)
AMOUNTRECEIVEDTHIS
PERIOD
IFANINDIVIDUAL,ENTEROCCUPATIONANDEMPLOYER(IFSELF-EMPLOYED,ENTERNAME
OFBUSINESS)
DATERECEIVED
SEEINSTRUCTIONSONREVERSENAMEOFFILER I.D.NUMBER
SCHEDULEA
SUBTOTAL $
CALIFORNIAFORM
Statement covers period
from
through
Schedule A Summary1.Amountreceivedthisperiod–itemizedmonetarycontributions.
(IncludeallScheduleAsubtotals.).........................................................................................................$
2.Amountreceivedthisperiod–unitemizedmonetarycontributionsoflessthan$100...........................$
3.Totalmonetarycontributionsreceivedthisperiod.(AddLines1and2.EnterhereandontheSummaryPage,ColumnA,Line1.)......................TOTAL$
FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CONTRIBUTORCODE*
*ContributorCodesIND–IndividualCOM–RecipientCommittee (otherthanPTYorSCC)OTH–Other(e.g.,businessentity)PTY–PoliticalPartySCC–SmallContributorCommittee
INDCOMOTHPTYSCC
460
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 4 9
Committee to Recall Council Member Herb Perez 1418889
2/22/2020Gary Pollard
foster City CA 94404
✔Travel AdvisorAmbassador Tours $200 $200
2/22/2020Mitch Drangle
Foster City CA 94404
✔Business Self-employed $500 $500
3/3/2020Barbara Regan
Foster City CA 94404
✔Retired
$300 $300
3/3/2020Solomon Tsai
Foster City CA 94404
✔BusinessSelf-Employed $750 $750
3/4/2020Andy Chen
t Foster City CA 94404✔ BDD
Covance $200 $200
1950
2590
3546
6136
Page of
Amounts may be roundedto whole dollars.
NAMEOFFILER
Schedule A (Continuation Sheet)Monetary Contributions Received
I.D.NUMBER
SCHEDULEA(CONT.)Statement covers period
from
through
CALIFORNIAFORM 460
PERELECTIONTODATE
(IFREQUIRED)
CUMULATIVETODATECALENDARYEAR(JAN.1-DEC.31)
AMOUNTRECEIVEDTHIS
PERIOD
IFANINDIVIDUAL,ENTEROCCUPATIONANDEMPLOYER(IFSELF-EMPLOYED,ENTERNAME
OFBUSINESS)
DATERECEIVED
SUBTOTAL $
FULLNAME,STREETADDRESSANDZIPCODEOFCONTRIBUTOR(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CONTRIBUTORCODE*
*ContributorCodesIND–IndividualCOM–RecipientCommittee (otherthanPTYorSCC)OTH–Other(e.g.,businessentity)PTY–PoliticalPartySCC–SmallContributorCommittee
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
INDCOMOTHPTYSCC
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 5 9
Committee to Recall Council Member Herb Perez 1418889
3/8/2020Isabelle Bushman ✔ Executive Assistant
Twilio $100 $100
3/9/2020Laura Rayner
Foster City CA 94404✔ Admin Assistant
Stanford Medical $100 $100
3/9/2020Jason Pollard
Foster City CA 94404✔ Accountant
Self-employed $100 $100
3/9/2020Lisa Taner
San Mateo CA 94403✔ Property Manager
William F Kenney $200 $200
3/9/2020Lisa Brooks
Foster City CA 94404✔ Consultant
IRIS Statistical Institute $140 $140
640
IND COM OTH PTY SCC
Statement covers period
from
throughI.D.NUMBER
SCHEDULEB-PART1Amounts may be roundedto whole dollars.Schedule B – Part 1
Loans Received
Page of
SUBTOTALS $
SEEINSTRUCTIONSONREVERSENAMEOFFILER
CALIFORNIAFORM 460
$ $
IFANINDIVIDUAL,ENTEROCCUPATIONANDEMPLOYER
(IFSELF-EMPLOYED,ENTERNAMEOFBUSINESS)
INTERESTPAIDTHISPERIOD
CUMULATIVECONTRIBUTIONS
TODATE
FULLNAME,STREETADDRESSANDZIPCODEOFLENDER
(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
ORIGINALAMOUNTOF
LOAN
OUTSTANDINGBALANCE
BEGINNINGTHISPERIOD
AMOUNTRECEIVEDTHIS
PERIOD
AMOUNTPAIDORFORGIVENTHISPERIOD
OUTSTANDINGBALANCEAT
CLOSEOFTHISPERIOD
(b) (c) (e)
$
DATEINCURRED
(Enter(e)onScheduleE,Line3)
CALENDARYEAR
$
PERELECTION
$
%RATE
$
*AmountsforgivenorpaidbyanotherpartyalsomustbereportedonScheduleA.**Ifrequired.
Schedule B Summary1. Loansreceivedthisperiod....................................................................................................................$ (TotalColumn(b)plusunitemizedloansoflessthan$100.)
2. Loanspaidorforgiventhisperiod.........................................................................................................$ (TotalColumn(c)plusloansunder$100paidorforgiven.) (IncludeloanspaidbyathirdpartythatarealsoitemizedonScheduleA.)
3. Netchangethisperiod.(SubtractLine2fromLine1.)..............................................................NET $ EnterthenethereandontheSummaryPage,ColumnA,Line2. (Maybeanegativenumber)
(a) (d)
$ $
(f) (g)
PAID
$
FORGIVEN
$
$
DATEDUE
$
$
DATEINCURRED
CALENDARYEAR
$
PERELECTION
$
%RATE
$ $ $
PAID
$
FORGIVEN
$
$
DATEDUE
$
DATEINCURRED
CALENDARYEAR
$
PERELECTION
$
%RATE
$ $ $
PAID
$
FORGIVEN
$
$
DATEDUE
IND COM OTH PTY SCC
IND COM OTH PTY SCC
*
**
**
**
†
†
†
†ContributorCodesIND–IndividualCOM–RecipientCommittee (otherthanPTYorSCC)OTH–Other(e.g.,businessentity)PTY–PoliticalPartySCC–SmallContributorCommittee
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 9
Committee to Recall Council Member Herb Perez 1418889
Shankar Kenkre Foster City CA 94404
✔
IT ConsultantRSK Consulting
2500 0
✔
2500 0 0
0
2500
11/13/19
2500
2500
Stacy Jimenez Foster City CA
94404
✔
AttorneySelf-employed
2400 2467
✔
4467
✔
400
0 0
0
4467
11/20/19
4467
4467
Yvonne Ryzak Foster City CA
94404
Retired
0 1000
✔
1000 0 0
0
1000
3/3/20
1000
1000
3467 8367 0 0
3467
8367
(4900)
SEEINSTRUCTIONSONREVERSENAMEOFFILER
Schedule EPayments Made
Page of
CODES: Ifoneof the followingcodesaccuratelydescribes thepayment,youmayenter thecode.Otherwise,describe thepayment.
CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID
SUBTOTAL $
Amounts may be roundedto whole dollars.
I.D.NUMBER
Statement covers period
from
through
SCHEDULEE
RAD radioairtimeandproductioncostsRFD returnedcontributionsSAL campaignworkers’salariesTEL t.v.orcableairtimeandproductioncostsTRC candidatetravel,lodging,andmealsTRS staff/spousetravel,lodging,andmealsTSF transferbetweencommitteesofthesamecandidate/sponsorVOT voterregistrationWEB informationtechnologycosts(internet,e-mail)
MBR membercommunicationsMTG meetingsandappearancesOFC officeexpensesPET petitioncirculatingPHO phonebanksPOL pollingandsurveyresearchPOS postage,deliveryandmessengerservicesPRO professionalservices(legal,accounting)PRT printads
Schedule E Summary
1.Itemizedpaymentsmadethisperiod.(IncludeallScheduleEsubtotals.)............................................................................................................. $
2.Unitemizedpaymentsmadethisperiodofunder$100.......................................................................................................................................... $
3.Totalinterestpaidthisperiodonloans.(EnteramountfromScheduleB,Part1,Column(e).)............................................................................. $
4.Totalpaymentsmadethisperiod.(AddLines1,2,and3.EnterhereandontheSummaryPage,ColumnA,Line6.)........................... TOTAL $
CMP campaignparaphernalia/misc.CNS campaignconsultantsCTB contribution(explainnonmonetary)*CVC civicdonationsFIL candidatefiling/ballotfeesFND fundraisingeventsIND independentexpendituresupporting/opposingothers(explain)*LEG legaldefenseLIT campaignliteratureandmailings
NAMEANDADDRESSOFPAYEE(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CALIFORNIAFORM 460
*PaymentsthatarecontributionsorindependentexpendituresmustalsobesummarizedonScheduleD.
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 9
Committee to Recall Council Member Herb Perez 1418889
Preciset
San Francisco CA 94080LIT $3510
FaceBook Menlo Park CA 94025 WEB $616
Bagatelos Law Firm San Francisco CA PRO $650
4776
7077
358
0
7435
CODE OR DESCRIPTIONOFPAYMENT AMOUNTPAID
SUBTOTAL $
Statement covers period
from
through
SCHEDULEE(CONT.)Amounts may be rounded
to whole dollars.Schedule E(Continuation Sheet)Payments Made
SEEINSTRUCTIONSONREVERSE Page of
I.D.NUMBER
NAMEANDADDRESSOFPAYEE(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
CALIFORNIAFORM 460
CODES: Ifoneof the followingcodesaccuratelydescribes thepayment,youmayenter thecode.Otherwise,describe thepayment.
*PaymentsthatarecontributionsorindependentexpendituresmustalsobesummarizedonScheduleD.
RAD radioairtimeandproductioncostsRFD returnedcontributionsSAL campaignworkers’salariesTEL t.v.orcableairtimeandproductioncostsTRC candidatetravel,lodging,andmealsTRS staff/spousetravel,lodging,andmealsTSF transferbetweencommitteesofthesamecandidate/sponsorVOT voterregistrationWEB informationtechnologycosts(internet,e-mail)
MBR membercommunicationsMTG meetingsandappearancesOFC officeexpensesPET petitioncirculatingPHO phonebanksPOL pollingandsurveyresearchPOS postage,deliveryandmessengerservicesPRO professionalservices(legal,accounting)PRT printads
CMP campaignparaphernalia/misc.CNS campaignconsultantsCTB contribution(explainnonmonetary)*CVC civicdonationsFIL candidatefiling/ballotfeesFND fundraisingeventsIND independentexpendituresupporting/opposingothers(explain)*LEG legaldefenseLIT campaignliteratureandmailings
NAMEOFFILER
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 9
Committee to Recall Council Member Herb Perez 1418889
Political Data Inc Norwalk CA 90652 LIT $703
Olive Cafe Foster City CA 94404 MTG
Food & Beverages$167
Costco Foster City CA 94404 MTG
Food & Beverages$336
AMS systems Foster City CA 94404 LIT $795
John A Jensen Hesperus CO 81326 LIT $300
2301
Statement covers period
from
through
I.D.NUMBER
SCHEDULEF
Schedule F Summary1.Totalaccruedexpensesincurredthisperiod.(IncludeallScheduleF,Column(b)subtotalsfor accruedexpensesof$100ormore,plustotalunitemizedaccruedexpensesunder$100.)..............................................INCURRED TOTALS $2.Totalaccruedexpensespaidthisperiod.(IncludeallScheduleF,Column(c)subtotalsforpaymentson accruedexpensesof$100ormore,plustotalunitemizedpaymentsonaccruedexpensesunder$100.)...................................PAID TOTALS $3.Netchangethisperiod.(SubtractLine2fromLine1.Enterthedifferencehereand ontheSummaryPage,ColumnA,Line9.) ................................................................................................................................................................................... NET $
Amounts may be roundedto whole dollars.
Page of
Schedule FAccrued Expenses (Unpaid Bills)
SEEINSTRUCTIONSONREVERSENAMEOFFILER
NAMEANDADDRESSOFCREDITOR(IFCOMMITTEE,ALSOENTERI.D.NUMBER)
Maybeanegativenumber
$
CODEORDESCRIPTIONOFPAYMENT
(a)OUTSTANDING
BALANCEBEGINNINGOFTHISPERIOD
(b)AMOUNTINCURRED
THISPERIOD
(c)AMOUNTPAIDTHISPERIOD
(ALSOREPORTONE)
(d)OUTSTANDING
BALANCEATCLOSEOFTHISPERIOD
SUBTOTALS $ $$
CALIFORNIAFORM 460
CODES: Ifoneof the followingcodesaccuratelydescribes thepayment,youmayenter thecode.Otherwise,describe thepayment.
*PaymentsthatarecontributionsorindependentexpendituresmustalsobesummarizedonScheduleD.
RAD radioairtimeandproductioncostsRFD returnedcontributionsSAL campaignworkers’salariesTEL t.v.orcableairtimeandproductioncostsTRC candidatetravel,lodging,andmealsTRS staff/spousetravel,lodging,andmealsTSF transferbetweencommitteesofthesamecandidate/sponsorVOT voterregistrationWEB informationtechnologycosts(internet,e-mail)
MBR membercommunicationsMTG meetingsandappearancesOFC officeexpensesPET petitioncirculatingPHO phonebanksPOL pollingandsurveyresearchPOS postage,deliveryandmessengerservicesPRO professionalservices(legal,accounting)PRT printads
CMP campaignparaphernalia/misc.CNS campaignconsultantsCTB contribution(explainnonmonetary)*CVC civicdonationsFIL candidatefiling/ballotfeesFND fundraisingeventsIND independentexpendituresupporting/opposingothers(explain)*LEG legaldefenseLIT campaignliteratureandmailings
FPPC Form 460 (Jan/2016)FPPC Advice: [email protected] (866/275-3772)
www.fppc.ca.gov
2/16/2020
5/15/2020 9 9
Committee to Recall Council Member Herb Perez 1418889
Bagatelos Law Firm San Francisco CA 94127 PRO
$500 $150 $650 $0
500 150 650 0
150
650
-500