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Home My WebLink AboutGOH PREELECT16(1) 4/28/16Recipient Committee Campaign Statement Cover Page Statement coven period from 1/1116 SEE INSTRUCTIONS ON REVERSE I through 4123116 1. Type of Recipient Committee: An committees- Complete Raft 1, 2,3, and 4. is Officeholder, Candidate Controlled Committee ❑ PHmadly Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled fwoc,nN ParS O Sponsored 6/7/16 faWflm P.rtW ❑ Committee OS ponsored El Primarily Formed Candidate/ 0 8po O Small Contributor Committee Officehoker COmmiRee O Political Parry /Central Com ustee jfia tae Pe ) 3. Committee Information I I.D.?UUMBER Karen Goh for Mayor 2016 CITY STATE ZIP CODE ARFACODEIPHONE MAILINGADDRE55 (IF DIFFERENT) NO.AND STREET OR P.O. BOX CITY STATE 21PCODE AREACODERHONE COVER PAGE NAME OF ASSISTANTTREASURER, IF MY CITY STATE ZIP CODE AREACODEIPHONE 661- 325 -3427 skelly @wrenkelly.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be of my knowledge the adarmatlo Contained herein and in the attached schedules is true and complete. I certify under penalty of pe ury under the laws of the State of California that he foregoin[9� i�ma and carreckt lU �/� Exeanad On Det BYYJ Sp 1 Nin nwA»ISIenlTnewrw Ewcued on. / /r By SI aLn iry 0 V, ands $mb Meaeve PnpOmNOr oepona a r01 OOnwr Executed on one BY Be... of Conroe, OMmndaen con.d. , S. aeaua mymm Executed on Dale BY alanaNn W convallne ennedon, Carson. ,... ..eun Pmponanr FPPC Form 460 (tan /2036) FPPC Advice: advice @fppC.D,irbs (866 1275 -3772) www.fpPC.o.BOv 16 APR 28 �'i4 ge 1 1e oate ofonth, na Year) (Month, Day, Vear) Fw Oadal Uae Only 6/7/16 2. Type of Statement: lea Preelection Statement ❑ Quarterly Statement ❑ Semiannual Statement ❑ Special Odd-Year Report ❑ Termination Statement (Also file a Form 410 Terminabon) ❑ Amendmenl(Explain below) Treasurers) NPMEOFTRFASURER Shawn P. Kelly, CPA MAUN ADDRESS NAME OF ASSISTANTTREASURER, IF MY CITY STATE ZIP CODE AREACODEIPHONE 661- 325 -3427 skelly @wrenkelly.com 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the be of my knowledge the adarmatlo Contained herein and in the attached schedules is true and complete. I certify under penalty of pe ury under the laws of the State of California that he foregoin[9� i�ma and carreckt lU �/� Exeanad On Det BYYJ Sp 1 Nin nwA»ISIenlTnewrw Ewcued on. / /r By SI aLn iry 0 V, ands $mb Meaeve PnpOmNOr oepona a r01 OOnwr Executed on one BY Be... of Conroe, OMmndaen con.d. , S. aeaua mymm Executed on Dale BY alanaNn W convallne ennedon, Carson. ,... ..eun Pmponanr FPPC Form 460 (tan /2036) FPPC Advice: advice @fppC.D,irbs (866 1275 -3772) www.fpPC.o.BOv Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Karen Goh OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor RESIDENTIAUBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP 2913 Beech Street Bakersfield, CA 93301 Related Committees Not Included in this Statement: uatanycommmmw omincRAaed in mis afemmomtMt am cormnlledayyou were Primarily mrmedm mcehm conm6udons or make exPendhares on deMdo /your candtlary. COMMITTEE NAME I.O. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE7 ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP COOP AREA COOL/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLL O COMM' TTEE) ❑ YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ZIPCODE AREA CODEIPHONE Page 2 of 18 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION 71 SUPPORT ❑ OPPOSE Identify the controlling officeholder, dandlda e. or state measum proponent if any. NAME OF OFFICEHOLDER. CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRIGTNO. IFANY 7. Primarily Formed Candidate /Officeholder Committee Listrwmmo/ of iceholderfs) or candlWtefs) for which MIS commldee is Pdm&HIY formed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE OSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HEW ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT E OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE Attach condmartim sheers Nowessary FPPC Form 460 (Jan /2016) FPPC Advice: adN1.. @fppoca.9ov (8661275 -3772) ..fppc.o.gov Campaign Disclosure Statement fienounts my be notinds,11 to whol. d.IW.. Summary Page Karen Goh for Mayor 2016 Startionont corers "nod from WMA "' through 4123/16 page 3 of 18 - - Expenditures Made Column A Column 8 Contributions Received 6. Payments Made .............................................................. WTum,uoir,D a C�ym 1, 4,214+74 .. o'.M To".. ......... - SMedul&HUmI3 86.801.00 66t801400 1. Monetary Contributions .................. ............................... SoiiwftdeA, am, 3 $ $ $ - 4,214.74 s 0.00 9. Accrued Expenses (Unpaid Bills). ........ ............ 0.00 2. Loans Received .......... ................................. 4 ................... SrAeubu. 8, id,. 3 - 8,801.43 10+ NonmonetaryAdjusunent ....... .......... ... - ....... .............. SoIedulo C, EIe 3 66,801.00 66,801.00 3. SUBTOTAL CASH CONTRIBUTIONS .................... .................. AM J- a +9 +10 $ $ $ 13,016.17 0.00 0.00 4. NonmoneteryContributions.... .......... Som owicLiu,3 - 66,801.00 66,801.00 5. TOTAL CONTRIBUTIONS RECEIVED .. . . .............. AWUr.3.4 $ $ Expenditures Made 6. Payments Made .............................................................. - SIIeduIeE.bu,4 a 4,214+74 1, 4,214+74 7. Loans Made... ........................................ -- - ......... - SMedul&HUmI3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS ........... ............................... AML.,6+7 $ - 4,214.74 s 4,214.74 9. Accrued Expenses (Unpaid Bills). ........ ............ ....... SoIedute F. Vne 3 8,801.43 8,801.43 10+ NonmonetaryAdjusunent ....... .......... ... - ....... .............. SoIedulo C, EIe 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ......... ........ .. .................. AM J- a +9 +10 $ $ 13,016.17 _13.016.17 Current Cash Statement 12. Beginning CaruI Balance. ........................... i,Ivoovs svmmey ftw. Um 16 S - 0.00 13. Cash Receipts ............ ......................................... WumA Umi3atoe 66,801.00 14. Miscellaneous Increases to Cash ........................... SoIsuWe t urea - 0.00 15. Cash Payments .......................... .................... - -- GaUnIArU".8sbo- 4,214.74 16. ENDING CASH BALANCE ............ -AWLmiur 12+ 13. 11, don &Wemhd� 15 a 62.586.26 ff ffile Is . termination stat"ment, we 16 must ba,,em, 17, LOAN GUARANTEES RECEIVED ................................ Srhad SPerf2 $ 0.00 To calculate Column B, add amounts in Column A to the conespouding amounts from Column B of your last report. Some amounts in ColummuA may be negative figures that should be subtradiril from previous ,edwamoums. It Nis A Me first report being Hatl for due wkndar we,, only ean,, mmr Na amounts 11384218 Calendar Year Summary for Candidates Running In Both the State Primary and General Elections III ffimu,,h 610 7A to Dide 20. Contributions Recel,od $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State candidates 22. Cummulattvit Expimutrumus Wide (Mlu-t IOYtlueary epiindle. U.1 Date of EkOon Total to Data (.Wdd,yy) $ $ 'Amounts in this section may be different from amounts reported in Column S. Cash Equivalents and Outstanding Debts from Lima 2,7, and 9 (if 18. Cash Equivalents .................... --- .................... ssefmmrw-I-.. a 0.00 Any) 19. Outstanding Debts ................. AMUm,2+LIM9rnCwumna&buI,e $ 8,801+43 FPK Form 460 (Jan/2016) FPPC AdW.; iudw,eflofppcea.ihov (866/275-3772) .firp..Gov Srhndulw A Amounts may M rounded SCHEDULE A to whole dollar. Monetary Contributions Received Statement coven period - 1/1116 ham a. 4/13/16 4 18 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Karen Goh for Mayor 2016 1384218 DATE FUU-NAME,STREETADDRESSAND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, EWER OCCUPATIONAND EMPLOYER AMOUNT RECEIVED THIS CUMUl4TIVETODATE CALENDARYEAR PER ELECTION TO DATE RECEIVED oFCAMMmaERaaarvrERLP.M.Maanl CODE • (IF SaF- EMP-n. aM w E PERIOD (JAN, 3t) (IF REQUIRED) oFa ..s 1IND 3115/18 Karen GOh ❑com CEO 1,000.00 1,000.00 1,000.00 ❑ PTY ❑scC OIND 3123/16 Vince Zaragoza ❑COM Principal Consultant 100.00 100.00 100.00 ❑PTY ❑SCC m INC) R. Konrad 8 Kim Moore ❑cord Chief Deputy Public 100.00 100.00 100.00 3/31116 PTY County of Kern ❑ SCC 0IND 41/16 John Allen ❑COM Fanner 150.00 150.00 150.00 93lle ❑ PTY ❑SCC OIND Clayton and Teena Koerner ❑COM President 150.00 150.00 150.00 411/16 El PTY Consultants ❑ SOC SUBTOTAL$ 1,500.00 Schedule A Summary Amount received this period — itemized monetary Contributions. (Include all Schedule A subtotals.) ............... ............................... 64,925.00 2. Amount received this period — unitemized monetary contributions of less than $ 100 ...........................$ 1.876.00 3. Total monetary contributions received this period. 66,801.00 (Add Lines i and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL E •Contributor Codes IND — IrMMdual COM — Recipient Committee (other than PTY or SCC) OTH —other (e.g., business entity) PTV — Political Party SCC —Small Contributor Committee FPPC Form 460 pan /2016) FPPC Ad d,e: advice @fppc.m.gov (866/275 -3772) www.fppc.m.gov Schedule A(Continuation Sheet) Monetary Contributions Received Name of Filer: Karen GOh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23/16 Page r —of 18 I.D. Number: 1384218 FULL NAME. STREETADDRESS AND Me CODE OF CONTRIBUTOR DATE RECEIVED CON'T'RIBUTOR CODE OCCUPAMN ENPLOYERABUSINESS AMOUNT RECENEDTHI& PERIOD CUMIIIATNETO DATE PEREIECTIONTO DATE Paul &Neal BheMm" 411116 IND UkMeaM Insurance Aged Saf 600.00 600.00 60000 Todd & Seen. Wind. 4 16 IND Omer LoW Landid,, Inc. 250.00 25000 26000 Mike & Nnaly Alkn 4IM16 IND Redlo Amarieo General Media Mon 00 15000 150.00 Louis and Sheryl BaNiah V4H6 IND CPA admen, Hoolreq Nng. Dul H 60000 60000 60000 Leamade Ropers and Eller Brandon VVt6 IND EaeWF/e Amended GenmN Med. 25000 250.00 250.00 Mogen Clamon 414118 IND Preaidenl TNTec Escunty 250.00 250.00 250.00 David A. runner Homes 41416 0TH WA WA 100 Do 100.00 100.00 Pmmea and Irene EOTOmIS 41416 IND Retired WA 15000 15000 150.00 Tmmw& Minh EVahnd 44116 IND Refired WA 15000 15000 15000 RoCM FOw1erP0. V4116 IND Retied WA 10000 100.00 100.00 ISal Gumam V V16 IND Former Guimana Vineyards, Coq 2,500.00 2.500.00 2,500.00 IGoymeI DYry 41V16 OTH WA WA 15000 15000 MOM BUBTOTALs5,250_00 Schedule A,(Continuation Sheet) Monetary Contributions Received Name of Filer: Karen Gain for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23/16 Page 6 Of 18_ I.D. Number: 1384218 FULL NAME_ STREET ADDRESS AND LP CODE OF CONTRIBUTOR DATE RECEIVED CONTRIBUTOR CODE OCCUPATON EAIPLOYERIBUSIMESS AMOUNT RECENEDTHIS PERIOD CUk1ULATIVETO DATE PERELECTIONTO DATE Efu Haddad 41411. IND Pnlner Haddad Auto Group 60000 80000 600 Do Bob and Judy Ham(bn NMtfi IND SO Emploed Weebide W.M. Mn91. Co.. lnc BDD.00 60000 60000 ThOmae S Beth Hoffmann 4/4/16 IND Prtekhod Hoffmann Honxsere. Inc, 200.00 200,00 200.00 Geoffrey and Use Kln9 M4116 IND CPA BHK OPAb 25000 250.00 25000 Jahn and Sh.1a Lake 4IC16 IND CEO Rain for Rant 1,500.00 1,500.00 1,500.00 Tho. and Pauline ieroaod 414116 IND Trustee KCCD .00 100.00 Loyd Invemmenb. LLC 4IM16 OTH WA WA 00 60000 Loupe McCadhy 414116 IND Homemaker WA .00 100.00 Danny ON¢ 41M16 IND A.R. W- Employed] 11.20b..2ROM ,00 1000 and Adana St. Clair 41x16 IND Real EMme Broker Sell E.Poyad .00 250DID LKF.nk nd Claire Stevane 4IV16 IND Tracking Slovens Tosm�defo0.lnc. 0.00 450.93 Sun- C. Co.nnoodos.Inc, 41416 . WA N/A 5000 1,25000 SUBTOTALS(ynnn nn Schedule A {Continuation Sheet) Monetary Contributions Received Nameof Filer: Karen GOh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23/16 Page : —of 18 I.D. Number: 1384218 FULL NAME. STREET ADDRESS AND MP CODE OF CONTRIBUTOR DATE RECEMED CONTRIBUTOR CODE OCCUPATION EMPLOYERIBUSINESS AMOUNT RECEMEDTHIS PERIOD CUMULATIVETO DATE PERELECTIONTO DATE Teehe fthda vWioW Cowo n GM16 OTH WA WA 150.00 150.00 15000 D Lams and Colleen Maley M4116 IND Re WA 10000 la0.W 10000 W. Moheel and Dom Ohenok 4,wl6 IND Ra6md WA 10.00 100.00 10000 Sere Elks N 16 IND Relied WA 10000 10000 100.00 (Cynthia G'umam 416/16 IND Lawyer _Seri Empoyed 2,50000 2,500 Do 2,500.00 Dr. David and JanNW Gah 4MI16 IND Pamnr Darien Community Church 60000 000.00 Boom Berl d Napier HR 41616 IND VP Area Manager United Semydy Eank 100.00 10000 10000 Mika Hn "ns IND Owner JoM Fine, f. Moo 100.00 Moo P A S Mewlelee PMaaaironal AdminlIdRdWa Syslame 416116 OTH WA WA 10000 19300 100M IJavy a CMely Pwner V5116 IND PMeseonal Athkle NFL 60000 60000 60000 1 Jv-5 -MP 4016 IND Lawyer SeM Employed 150,0 15000 150DD FaW Peuk Tdpp 41616 IND VP Caroline BClopioal Supply CO. 25000 250.00 25000 SUBTOTALN1,R50 00 Schedule A {Continuation Sheet) Monetary Contributions Received Name Df Filer: Karen Gab for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23/16 Page $ of _18 I.D. Number: 1384218 FULL NAME. STREETADDRESS AND MP CODE OF CONTRIBUTOR DATE RECEIVED CONTRIBUTOR CODE OCCUPATION EMPk.DTENBUSNE S AMOUNT RECENED THIS PERIOD CUNULATNE TO DATE PER ELECTION TO _ DATE Cason G. variants, Jr. "As IND CM Engineer Comerstme En9Neenng, Inc 150.00 150.00 150.00 Don Banks 41D16 IND Eaeculive Ban" Peal Contra, Inc. 250,00 250.00 250.00 Mary Bad. KemMb, CA M116 IND As aSupennUMent concur of Kam 100.00 10000 100.00 Bernard Sr. and Betlncs Bermann 10 /16 IN Ananey Refired 100.00 10000 100.00 Irma Cervantes Bakersfield. CA 4M16 IND Pudiclntamu4on Ba "rsfiWd CRJSchWIDat Moo 150.00 15D.00 f I I Dan'el Cheng.MO.N01 Empim Dave p120 Be "nlBld, CA 93309 4RI16 IND ODBNalmobgisl Empa EW SLeter Lenten 1100.00 1000.00 1000.00 IAMR! Transport Inc 1935 Counoa Road! Bakersfield, CA 933139786 V8116 01 WA WA 75000 750.00 750.DD ArtMondo VaMUm Inc. stalls OTH WA WA 540.00 50000 50000 Knrten Bamea 418118 IND CEO Kam Community Foundaton 10000 100.00 10000 Robert aM Lee1'ro Bamea VERB IND Pelmphvudst CaNOmia Rewurcea LOry 15000 15000 1so.00 Peggy Dole C1 16 IND Retired WA 10000 10000 100 Co Pabkk and Theresa Callus 416116 IND CEO HeNM R Sean Co. 60000 80000 600.00 SUBTOTAL63,4350 00 Schedule-A {Continuation Sheet) Monetary Contributions Received Name of Filer: Karen Goh for Mayor 2016 Statement Covers Period from 1 /1 /I6 Through 4/23/16 Page _9 of 18 I.D. Number: 1384218 sueTOTALs10.425.00 AMOUNT FULL NAME. STREET ADDRESS AND MP CODE OF CONTRIBUTOR DATE RECEIVED CONTRIBUTOR CODE OCCUPATION EMPLOVEMUSINESS RECEIVEDTHIS PERIOD CUMUUTNETO DATE PERELECTIONTO DATE IR.hM B Lavine Da 4016 IND Maw,ara..Mr Fleet CaM Fuels 1,00000 1.000.00 1,00000 I.D.mcerPO. 4IN16 IND RemW WA 3.00000 300000 3700.00 Catheir. Gay 418/16 IND R.ai east. SO Emooye] 150.00 150.00 15000 IOavitl-d ,Golden Penotl8 Assodetea, LP dbe Adept Denial Group Shaffer 410116 OTH WA WA 22500 22500 22500 'Jeff and Lisa G. She IND AMmey lGemmwey Fnms 50000 500.00 50000 Ge90ry O Bynum o:esecalea, Inc. 5601 TmHun Ave. Seek 190 413116 OTH WA WA 1,000.00 1,00¢00 100000 _ Menus Hackler7404 MBl16 IND GeOevl Caravcuer SO Empeed 30000 30000 30000 Wry and Cy Ahie leanio VW16 IND Fanner SO Emplyed 750.00 750.00 750.00 Independent OB PM.W ABenry N &15 OTH WA WA 30000 30000 30000 lean Nabs IND Deputy DisMtl Atlomey Ooun r�Mon Refuse Disposal, In. P. 4016 OTH WA WA 2.50000 2.500.00 2.50000 Wayne KixMnmen N &16 IND President KinUanman EMePhses, ft, mom 60000 600,00 sueTOTALs10.425.00 Schedule (Continuation Sheet) Monetary Contributlons Received Name of Filer: Karen Goh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23116 Page 10 of 18 I.D. Number: 1384218 FULL NAME. STREET ADDRESS AND MP CODE OF CONTRIBUTOR DATE RECENED CONTRIBUTOR CODE OCCUPATION EMPLOTERn3USINES3 AMOUNT RECEIVED THIS PERIOD CUMULATNE TO DATE PER ELECTION TO DATE W&l7 Food Stour 4016 OTH WA WA 250.00 250.90 25600 1B ra Gnmm Manhall7156 418116 IND Buaineaa Omer GNnmway EM.,rsn 5.000,00 S.00000 5,000.00 Martin MBCMII 4I &18 IND Relied WA 209.00 200 Do 200.00 Coned E Judfth Olnon 4016 IND Pre0clent Mmnal Title Servims. Ina 15600 150.00 150.00 Omega Finn 6lneunnm Service. 4/816 OTH WA WA 25600 250 00 250.00 Edxadl and Main Paine 4AV16 IND VP Human Resource. IJim BuAe Ford 300.00 30600 300.00 GinM and Pra9ati Prtal 4016 IND Phywian Se0 Employed 1.250.00 1,25D00 1.25600 Pa `Limp M.D. In. 4016 OTH Physidan Pada Letup M. D. lnc. 1,1 W.00 1,100,00 1,10).00 Brad POen 41816 IND Oaner _. San JNI,uin BA S.,c ,1.. 1.50600 15.000 1500,00 Tameka Pw lP. 4AN16 IND PnuM.WCEO KC BMCk Chamber M COmmemn 150.0) 150.00 150.00 Preform. Solution, Mr Penn, 4/N16 OTH WA WA 50)00 soo.W 5113 00 Feder. and Sunn Rave 418116 iIND Ph,.an W- Employed 1,75000 1,750.00 1,750.0) SUBTOTALS19 y Ann no Schedule A4COntinuation Sheet) Monetary Contributions Received Nameof Filer. Karen Gob for Mayor 2016 Statement Covers Period from 1 /1 /16 Through 4/23/16 Page 1_ of 1$_ I.D. Number: 1384218 ME. STREET ADDRESS AND MP CODE OF CONTRIBUTOR DATE RECENED CONTMBUTOR CODE OCCUPATION ENPLOYERIBUSINESS Ak1OUNT RECEMEDTIRS PERIOD CUMIUMETO DATE PERELECMNTO DATE tlk9e entl Ke1Mma Reeenlieb , 416116 IND Faunal WA 250.00 250,00 25000 udy Shaw 4/8116 IND Atlomey See EmplMed 60000 800.00 600.00 rer E,MJasmineN�DayCe� MaHB OTH WA WA 500.00 50000 SOn00 go Bakersfield, CA 410116 IND CEO So. caffmia Matliul Cal"a, 20000 200.00 200.00 eu 418116 IND Reaaor ReBAax Ddtlen Empire 150.00 15000 15000 Eu9aaand mind. Vandal 416116 IND A and emaker WA 400.00 40000 400.00 Raymond and Menene Wasson Valle IND Reumd WA 150.00 150.00 15000 NNlard and Karen `Mnn 4016 IND RetlrN WA 15000 15000 150.00 Yankee Communsa ons, Inc. 41&16 OTH WA WA 600100 600.00 600.00 Stephan Boyle 410116 IND Atlomey CuRtttla Bmvm 100.00 10000 100.00 James and Jacaueune BalmYn 4I1L16 JIND PreaitleM SmiINa Bakeries, Inc. 150.00 15000 115D,00 SUBTOTAL33r7r0.O0 khedule A')Contimlation Sheet) Monetary Contributions Received Name of Her: Karen Goh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23/16 Page 42 of 18 I.D. Number: 1384218 FULL NAME. STREETADDRESS AND LP CODE OF CONTRBUTOR DATE RECENED CONTRIBUTOR CODE OCCUPATION EMPLOYERIBUSINESS AMOUNT RECENED THIS PERIOD CUMUUMETO DATE PERELECMNTO DATE Cafe Med. Inc 4113116 OTH WA WA 250.00 250.00 2000 Gep and Skeryl Gallicn VIX16 IND CEO HouGJn CommuMy Blood Berk 20000 200.00 200,00 Gaocl SemaMan Hospital We 01H WA WA 1,o00.00 1,000.00 1,00000 Grrx w Erbmnses, Inc. 4113116 OTH WA WA 800.00 600.00 800.00 Jahn Hodek1700 4113116 IND Accountant County of Kem 350.00 350.00 350.00 John aM Ingrid Lake G13116 IND Executive RMn rot Rant 2,500.00 2,500.00 2,50000 Michael and Cadhadne Miller M13116 IND Managament Consufen Self- Employed 250.00 25000 250.00 - NckN Family LLC N13110 OTH WA WA 000.00 800.00 600.00 Pacific A9 ManageeeM. IOC. VINIS OTH WA NIA 250.00 250.00 250.00 MRen Younger 411L15 IND ReYred WA L00000 1.000.00 1,OW.00 AMIwny vineyeda 0411 &18 0TH WA WA 600.00 000.00 600.00 Kirschenmann Fame, Inc. Nt Nt6 0TH WA WA 2.500 00 2.500.00 2,60 00 SUBTOTAL$ 1D.10O -OO Schedule A (Continuation Sheet) Monetary Contributions Received Name of Fller: Karen Goh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23/16 Page 1_ of iF I.D. Number: 1384218 FULL NM3E. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR DATE RECEIVED CONTRIBUTOR CODE OCCUPATION EMPLOYERRIUSINESS AMOUNT RECENEDTNIS PERIOD CUMULATNETO DATE PERELECTIONTO DATE UMe Lake 411&16 IND Hanemeker WA 5,000.00 5,W000 510000 Mark B Verna Lewb VIW16 IND Bueine.. Manager Kam C nN Library 10D.00 100.00 10000 hn LRquet 420tl6 IND AfeeeeobR.Mer County W Kem _ . 500.00 500,00 50D.00 Han, Doh 4 16 IND RiAnd WA 500.00 500.00 50000 Un4a Ann Hansen D.C. 44016 IND ChiMpriv*v Ouenlum Ohimplatl 500.00 500 00 ----500.0 Lo R,.a FruB Ban 41. C.., Inc. 4 @816 OTH WA WA 10000 10000 1-000 SUBTOTAL $6,700. 00 Schedule E Payments Made Karen Goh for Mayor 2016 Amounts may be rounded to whole dollars. from 1/1/18 through 4/23116 pa9• 14 f_18_ 1384218 CODES: If one of the following codes accurately describes the payment, you may enter the Code. Otherwise, describe the payment. CMP campaign paraphemelialmisc. NOR membercommunications RAD radio airtime and production costs CNS campaign cansuhanis WG meetings and appearances RFD returned contributions CTS contribution (explain nonmonetary)- OFC ofgce expenses SAL TEL Campaign workers' salaries t-V or cable airtime and production costs CVC CINC donations PET PRO petition circulating banks TRC candidate travel, lodging, and meals FIL FND candidate glirglballot lees fundraising events POL phone polling and survey research TRS staftlspouse travel, lodging, and meals IND independent expenditure suppurtinglopposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same cardidetelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ad. WEB iMormation technology costs (intemet. .-moil) NAMEAND ADDRESS OF PAYEE ac ccuunrs¢ Nso smsa i.o. uuuemr CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Western Pacific Research, Inc. 1,000.00 Harland Clarke Checks and Supplies 243.22 OFC Best Parry Rentals FND 546.86 ' Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 1,790.08 Schedule E Summary I. Itemized Payments made this period. (Include all Schedule E subtotals.) .............................................................................. ............................... $ 4,144.74 70.00 2. Unitemized payments made this period of under $ 100 ........................................................................................................... ............................... $ 0.00 3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column ( e).) .............................................. ............................... $ 4. Total payments made this period. (Atltl Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL E 4,214.74 FPPC Forth 460 (Jan /2016) FPPC Advice: advicedilfppeca.gov (866/225 -3772) wwwAppc.ca.gov Schedule E (Continuation Sheet) Payments Made Karen Goh for Mayor 2016 Amounts may be rounded to whop dollars. SCHEDULE 1/1/18 4123/16 page 15 of 18 I.D. NUMBER 1384218 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 BAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonstary)' OFC office expenses SAL campaign workers salaries CVC am donations PET petition circulating TEL t.v or cable airtime and production costs FIL candidate 6lingliallot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL pilling and surrey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /apposing others ("pain)' POS postage, delivery and messenger services TSF transfer beksam committees of the same candidabusponsor LEG legal defense PRO professional services (legal, accounting) VOT voterreglstration I IT campaign literature and mailings PRT print ads w B Information technology costs (Internet, e-mail) NAMEANDADDRESS OF PAYEE pF UIMM f rrEE K50 FMEA I P. NUMBEm CODE OR DESCRIPTION OF PAYMENT AM01JW PAID Pork Chop & Bubbas BBO FND 1,956.60 Vons FND 388.06 ... .. SUBTOTALS 9354. R6 raymems Midi ma wnu,uuumu M. ,,,,w = „� =, . o .�.....__ ................... _�......_. ___ _.. __..___._ _. FPPC Form 460 (Jan /2016) FPPC Advice: advice@fppc.ca.SOv(866 /275 -3772) www.finmeaSpv Amounts may be rounded Schedule F W whale dollars Statement coven pedurl Accrued Expenses (Unpaid Bills) Inden 1/1/16 through 4123/18 16 18 OF FILE Page_ of SEE N TONG ON REVERSE NAME OF FILER I D. NLMBER Karen Goh for Mayor 2016 1364218 CODES: If one of the following codes accurately describes the payment, you may enter the code. Othervase, descnbe the payment. CMP campaign parephemalia/miea MSR member communications RAD radio airtime and production costs CNS campaign mrsutlants MTG meanings and appearances RFD returned contributions CTB amtdbuion("plain nonmonerov- OFC offim expenses SAL campeignworkers'salames CVC civic eonabons PET potion populating TEL t.v. or cable airtime and prpdudion costs FIL sandieate glingrballot fees PHO phone banks TRC candidate travel. lodging, and meals FIND Nndraising events POL polling and survey research TRS sla8/spoose trawl, lodging, and meals IND indepentlent expenditure suppoding /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same raMkaletiponsor LEG latish defense PRO professional services(legel, accoummg) VOT vmarregistratloo LIT campaign literature and meetings PW print ads WEe information lechndogy msts(iMemeb e-mail) 'PaYnlNlanul are¢MliWtlma wiMepeWert mWdtura mtW alw be SUBTOTALS $ 0.00 $ 4,867.52 $ 0.00 $ 4,867.52 ausermincroul on SMNule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ....................... .......................INCURRED TOTALS $ 8,801.43 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0.00 accrued expenses of $100 or more, plus total ur itemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A. Line 9.) ............................... __ ......... . .......................................... _ ............................... .............. ... ............... .......................... NET It 8.801.43 R.,aanee.s.. N.neo FPPC Form 460 Van /20161 FPPC Advice: advlce@fppc.m.gov (866/275 -3]721 www.fpPC.ra.gov, M) @I (d Ids NAME AND ADDRESS OF CREDITOR CODEOR OUTSTANDING AMWMINCURRED AMOUNT PAID OUTSTANDING aFinaanTEE..eepemAW,Mlu6' -m DESCRIPTION OF PAYMENT BALANCEBEGINNING THIS PERIOD THIS PERIOD SALANCEATCLOSE OF THIS PERIOD r PDP.FT.ip OFTHISPERIOD Western Pacific Research, Inc. CNS Western Pacific Research, Inc. SAL Western Pacific Research, Inc. TRC 'PaYnlNlanul are¢MliWtlma wiMepeWert mWdtura mtW alw be SUBTOTALS $ 0.00 $ 4,867.52 $ 0.00 $ 4,867.52 ausermincroul on SMNule D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ....................... .......................INCURRED TOTALS $ 8,801.43 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0.00 accrued expenses of $100 or more, plus total ur itemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and onthe Summary Page, Column A. Line 9.) ............................... __ ......... . .......................................... _ ............................... .............. ... ............... .......................... NET It 8.801.43 R.,aanee.s.. N.neo FPPC Form 460 Van /20161 FPPC Advice: advlce@fppc.m.gov (866/275 -3]721 www.fpPC.ra.gov, Schedule F Amounts may be rounded SCHEDULE F(CONT) to whole dollars. Statement covers period •- (Continuation Sheet) 1r1r1s • y Accrued Expenses (Unpaid Bills) from through 4123118 17 18 Pays vf _ NAME OF FILER I.D. NUMBER Karen Goh for Mayor 2016 1384218 CODES: If one of the following Codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CUP ampaign parephemagalmisc. MDR member communicators 11UD radio all and production seals, CNS ampaignanSultants Nil meetings and appearances RFD returned contlibutiow CTB contribution (explain nonmonelaryJ' OFC office expenses SAL ampaipn wodrers' salaries CW dvicdonahons PET petition d.lating TEL t.v. or able snare and production costs FIL candidate filing/ballat roes PHO phone banks TRO candidate travel, lodging, and meek FIND fundraising events POL polling and Survey research We staRlspowe travel, bilging, and meals IND independent experbhure supportingloppesing others(wplain)- POS postage, delivery and messenger seMas TSF transfer between committees of the same andidah /sponsor LEG legal defense PRO professional seMas(Iegal, accoanl VOT ester registration LIT campaign literal and mailings PRT print ads WEB information technobgy costs(InlemeL email) a Payments that are contributions or Independent mpandlthna must also be summarbad on Schedule D. SUBTOTALS$ COO $ 2,508.11 S 0.00 $ 2,508.11 PPPC Form aso (larrrgOlal FPPC Achill adWm(ftpc.a.gov (866/2TSa7721 www.fppaa.gov lal Ibl (e) Wl NAME AND ADDRESS OF CREDITOR CODEOR OUTSTANDING AMOUNTINCURRED AMOUNT PAID OUTSTANDING pi CLYMInEBI E Rlo.npaae) DESCRIPTION OF PAYMENT DAIANCEBEGINNING THIS PERIOD THISPERIOD BAIANCEATCLOSE OF THIS PERIOD P= ° °m°°ar°^IQ OFTHISPERIOD Wren Kelly CPAs, LLP FND Western Pacific Research, Inc. Subvendor. Office Depot SUBTOTALS$ COO $ 2,508.11 S 0.00 $ 2,508.11 PPPC Form aso (larrrgOlal FPPC Achill adWm(ftpc.a.gov (866/2TSa7721 www.fppaa.gov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Karen Goh for Mayor 2016 Amounts may be rounded to whole dollar:. Sassari eovem period on 111116 4123116 SCHEDULE Page 18 of 18 IP.NUMBER CODES: It one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. WP campaign paraphemalialmiu MR member communications RAD radio airtime and production coats CNS campaign consubams td TG meetings and appearances RFD reNmed contributions CT9 contribution (explain nemnonetary)' DEC office expenses SAL campaign"rmasalades CVC civic donations PET petition d=135ng TEL tv. enable airtime and production may FIL andidatefilinoalbHees PHO phone banks TRC candidate travel lodging, and meals END fundraisbg events POL polling and survey research TRS staflspouse travel, lodging, and meals IND independent expendhum suppodingropposirg ahem (explain)' POS Poole' , delivery and messenger serices TSF transfer beaveen commlbees of the same andidaWsponsor LEG legal defence PRO prolecoonal services liege, accounting) VOT voter regisbatlon Ln campaign Igerai and mailings PET print ads VvEB information technology costs (i,demi e-mail) ' Payments that are eonbibuaons or Indepandert expenditures must also be summarized on Schedule D. CMP Signs SUBTOTALS$ 0.00 $ 1,425.80 $ 0.00 $ 1,425.80 FPPC Fmm 460 (tan /2016) FPPC Advice: advicedoiPuc.m.5ov(866/275 -3712) www.fppc.a•8ov ta) lb) (Cl 141 NAME AND ADDRESS OF CREDITOR CODE OR OUTSTANDING AMOUNT INCURRED MOUNT PAID OUTSTANDING ar cCldaneEUSO eVraa LO. rxareep DESCRIPTION OF Pei MIsNCE BEGINNING THIS PERIOD THIS PERIOD BALANCE AT CLOSE OF THIS PERIOD PLaoacE,un as OF THIS PERIOD Wren Kelly CPAs, LLP PRO Western Pacific Research, Inc. Subvendor: Parker Davis Karen Goh Business Cards SUBTOTALS$ 0.00 $ 1,425.80 $ 0.00 $ 1,425.80 FPPC Fmm 460 (tan /2016) FPPC Advice: advicedoiPuc.m.5ov(866/275 -3712) www.fppc.a•8ov