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Home My WebLink AboutGOH PREELECT16(1) AMEND 5/3/16e N_ Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement coven "dad I Data of election n 1/1116 (MomM, Day, 4/23/16 All Cnamabas– Complete Pads 1, 2, 3, and a 0 Oficeholder, Candidate Controlled Committee O Stale Candidate Sects Committee O Recall IAmavmArs 0 General Purpose Committee O Sponsored O Sm.n Comrib,ddr Committee O Pelitcal Party/Contral Committee 3. Committee Information Karen Goh for Mayor 2016 6M16 2. Type of Statement: __ - .,.I j i.�..... COVER PAGE Page 1 of 18 ❑ Primarily Famed Ballot Measure ® Preelecbn Statement 0 Quarterly Statement Committee C3 Semi-annual Statement 0 Spedal Odd -Year Report O Controlled 0 Terminaton Statement O Sponsored (Also file a Farm 410 Termination) Ia.ow,PM. PnW 0 Amendment (Explain below) 0 Primarily Farmed Candidate / Amended to Correct a typo on page 18. No totals or Carry foward µR01mhhooWernommiftee amounts were affected. STREETADDRESS(NO P.O. BOX) "UNG ADDRESS (IF DIFFERENT) NO. AND STREET OR PO. BOX CITY STATE WOODS AREAC DePHONE Treasurers) NAME OF TREASURER Shawn P. Kelly, CPA MNLTRG ADDRESS NAME OF ASSISTANT TREASURER, IF MY CITY STATE ZIP CODE AREACODENHONE OPTIONAL: FA% /E- MNLADDRESS OPTIOILL FACIE- MAILADORESS 661 - 325 -3427 skelly@wrenkelly.com 4. Verification 1 have used all reasonable diligence in preparing and rede ring Mle statement and to the best of my knowledge the Infonnatlon Contained herein and in the attached schedules is Due and Complete. I Carl under penalty of Perjury under the laws of the State of Caltomia Mat the forego' a and.. . E.ecWedm SLill� ay D.. .,IM• /pAW.unl T,euu,w a y fA , el, Executed on me ay— Ion.... o'.., n sl a.a MM Me..un pmporcmar aempwels nnra3pmam Executed! an , o.b By s,,ona a COnYMIng Onomad.n CWMM. Sms, menue Ploprenl Eaecmed on We Imss,m 0Cmi Offiamodw. CaMmW So* M t FPPC Form 060 (Jan /20161 FPPC Advt[e: advlce@fppc.ca.gov (866/275 -3772) www.fppca.gov Recipient Committee Campaign Statement Cover Page — Part 2 S. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Karen Goh OFFICE BOUGHT OR HELD ONOLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor RESIDENTIAUBUSINESSADDRESS (NO.ANDSTREE) CITY STATE ZIP Related Committees Not Included In this Statement: ustany colnmatees not Mtludedtn ads alstemam IMtm conboaed byyou arm pamaaty fmmedm mcWw corMbuaons or make espendltures on t ffofyuur"ndMary. COMMITTEE NAME D. NUMBER NAME OF TREASURER CONTROLLED COMMITIEE7 ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS(NO P.O. BOX) CITY STATE 21P CODE AREA CODEIPHONE COMMITTEE NAME I.O. NUMBER NAME OF TREASURER CONTROLLED COMMI11 EE7 C YES ❑ NO COMMITTEEADDRESS STREET ADDRESS (NO P.O. BOX) CITY STATE ➢P CODE AREADODETNONE Page 2 or 19 G. Primarily Formed Ballot Measure Committee BALLOT NO. OR LETTER JURISDICTION ❑ SUPPOR ❑ OPPOSE Identity the controlling officeholder, cendklau, or stab measure pmponanR If airy. NAME OF OFFICEHOLDER, CANDIDATE. OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT N0, FANY 7. Primarily Formed Candidate /Officeholder Committee uwmm of oMCebotdws)or M"tIIW AI for ehlrJL ads cmmtitm Is Pamdly MrLned. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAMEOFOFFICEHOLDERORCANDIDATE OFFICE SOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHTOR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE BOUGHT OR HELD ❑ SUPPORT ❑ OPPOSE atbeh eonanwaon Shoals aneewary FPPC Form 460 (Jan /2016) FPPCA .e: adWm@fppca.&. (F66 /275 -3772) -- fPPCta.gov Campaign Disclosure Statement Summary Page Karen Goh for Mayor 2016 Amounts may be rounded to albolo dollars. Statement covere period I - 1 .. 1 6 Contributions Received A Column `MD �Tll. ZnnncrED 6. Payments Made ............................................... I. 6 HEDUI£s) $ 4,214.74 66,801.00 1. Monetary Contributions. .................................................. ScfMIl*A Una 3 $ - 2. Loans Received ................................................................ Sceedlle a Lee, 3 0.00 4,214.74 9. Accrued Expenses (Unpaid Bills) ............ 66,801.00 3. SUBTOTAL CASH CONTRIBUTIONS ....................... AM Urre l +2 $ - "eh,h, C. one 3 0.00 4. Nonmonetary Contributions srhadow C. uns 3 $ 5. TOTAL CONTRIBUTIONS RECEIVED.... AM Uear 3+4 $ 66,801.00 Expenditures Made 6. Payments Made ............................................... ScheM. E UlIo 4 $ 4,214.74 7. Loans Made ....................................................................... SnIecsee H. Une 3 ODO 8. SUBTOTAL CASH PAYMENTS ........... ............................... Adduo.,6+7 $ 4,214.74 9. Accrued Expenses (Unpaid Bills) ............ schedule F Ible 3 8,801.43 10. NonmonetaryAdjustment.. .............. .......... "eh,h, C. one 3 0.00 11. TOTAL EXPENDITURES MADE .................. AM U.. 8. s, 10 $ 13,016.17 _ 12, Beginning Cash Balance ............................ PeNOUS s.,vren, P.,e, one to s 0.00 13. Cash Receipts ........................................................... Cw,,. A, Leta 3 aso. 66,801.00 14. Miscellaneous Increases to Cash.. ................................ SareW. h, Un. 4 0.00 15. Cash Payments .............._.....a, - ...................... Colum A, ore 6 &bova 4,214.74 16. ENDING CASH BALANCE AM Ures 12.13. 14, Meo subireel Lftle 15 $ - 62,586.26 If Mis is a tmonabon afatenau, Una 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Scfl*&laPrK2 $ 0.00 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ Seerodmeliors.nre.. $ 0.00 19. Outstanding Debts ....................... - ..... AM One 2+ Lee, 9 M Carom B above $ 8,801.43 Col B �Num�n Y� $ 66,801.00 0.00 $ 66,801.00 0.00 $ 66,801.00 $ 4,214.74 0.00 $ 4214.74 8,801+43 0.00 $ 13,016.17 To -ate Column B, add amounts In Column A to the corresponding tur.unts from Column B of your last report. Some amounts in Column A may be negative figures that should be led dracull from previous gdod amounts. this is Me ffmt report being red for flas calendar year, only carry over the amounts from Lines 2, 7, and 9 (if any), 423/16 1 Page 3 Of 18 11384218 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections Ill through W30 7/1 W Date 20. C.Mrilb.b.n. Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. C ... holes Expenditures Mad.• Is UbIete W vuhnear, Ex,eandroem Unrl Data of Election Total to Date (mWddlyy) Jam- $ I $ `Amounts in this section may be different from amounts reported in Column B. FPK Form 40 (Jan/2016) FPPC Advice; adW.@fppc...Sm (866/275.3772) anete1piu-br-gov C..6e.4. do A Amounts may be rounded SCHEDULE A to "Ole dollars. Monetary Contributions Received statement town period e , from 1/1/16 .! 4123/16 4 18 !9—N through e of SEE INSTRUCTIONS ON REVERSE NAME OF FILER IUMBER Karen Goh for Mayor 2016 1384218 DATE FULL NAME, STREETAODRESSAND ZIP CODE OF CONRBUTOR CONTRIBUTOR IF AN INDMDUAL ENTER COCUPATIONAND EMPLOYER AMOUNT RECEIVEDTHIS CUMUINMETODATE CALENDARYFAR PER ELECTION TO DATE RECEIVED pE WxxlrrEE.ILQO VasA rD.xwsEy CODES IssEVaxvarco.wf .E PERIOD (JAN.1 -DEG 31) (IF REQUIRED) Cf BIIaNFMI BIND 3/15/16 Karen GOh 0coM CEO 1,000.00 1,000.00 1,000.00 ❑Pry 0SCC VI1ND 3/23/18 Vince Zaragoza 000M Principal Consultant 100.00 100.00 100.00 0 PTY 0 SCC m IND R. Konrad &Kim Moore 000M Chief Deputy Public 100.00 100.00 100.00 3/31/16 0 pry County of Kern 0 scc 0IND 41/16 John Allen 0coM Farmer 150.00 150.00 150.00 0 P Y 0 scc 0IND Clayton and Tear a Koerner 0coM President 150.00 150.00 150.00 4/1/18 0PTY Consultants 0 scc ,. SUBTOTAL$ 1,500.00 Schedule A Summary 1. 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. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.) ......................TOTAL $ 66,801.00 'Contributor codes IND — Individual COM— Recipient Con.. e (other Man PTY or SCC) OTH —Other (e.g., business enaty) PTV — Political Party SCC —Smell Contributor Committee WPC Farm 460 (Jan/2036) FPPC AdMce: adaloe ®fppc mga, (866 /275 -3772) -- fppca.aov 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 rr_ of 18 I.D. Number: 1384218 FULLNANE.8IREETADORE99 AND DP CODE OF CONTN[WTOR DATE RECENED CONTWBUTOR CODE OCCUPATION EMPLOTERIBUME8B AMOUNT RECENEDTHIS PERIOD CUM UMETO DATE PEREIEOTIONTO DATE Paul a Neal Shed. Vine IND I-MorHealh lnaunnae Agent Bel 600.00 600.00 600.00 TA/ - SaaM Wntles 4?J16 IND Owner Lml LeMin9. lnu 25000 2550.00 250 00 Mike a RmbABen N4111 IND Rod. Am6Nan GOn da MWW 150.00 160.00 lWoo LouN aM SMM Batch 0,41, IND CPA Eaton, IlWo"r, IOng, OB H scow 600.00 600.00 VMenn Ropers and Ealher B.M. OV16 IND E KI Anointed General MOW 260.00 280.00 250.00 MMpMCMyton2505Nw * 414H8 IND PreIDleM TeFTec Becuno 250.00 2000 . 250.00 D" A. TUmer H. 414116 0TH WA WA 100.00 100.00 100 00 Thomas and Inns Elmends "As IND R.W. E WA 150.00 10.00 150.00 TMmn a Judlh eVaavl N4110 IND Rain WA 10.0 15000 15000 Raked Fowler VN18 IND RaHnd WA 100.00 100.00 10.00 Sal Gi—odo 4IW16 IND Fannn Gul. NMyude, CdP 2,500.00 2,500.00 2,501.00 Gayenetche Dairy NM16 OTH WA WA 10.0 15000 150.00 BUBTDTAL $,5.750 00 Schedule A (Continuation Sheet( Monetary Contributions Received Name Of Filer: Karen GOh for Mayor 2016 Statement Covers Period from 111116 Through 4123/16 Page F; Of 11;_ I.D. Number: 1384218 FULL N. BRETOES Ap 9P 000OCONIBUOR DALE RECEIVED CONTMBUTOR CODE OCCUPATION AYWNT RECEIVED THIS PERgD CBM ATE O DATE PER E NTO DATE U. HatlO NM18 IND PeMm Hddul A.Omup w0.00 x0000 600.00 Bc0"^ Judy HemMm 41V16 IND SNI Employee Wa ida Wetle Minn. Co.. Inc Bo0.00 800.00 600.00 Thpmw 8 BMh HWrmnn 4/0016 IND Pnklmn Hemmn Haman, lnc 204. 2w.00 200.00 G.dk,.d Lisa Sm, 44116 IND CPA BHK CPA'. 250.00 250.00 250.00 ,10M ma Shake UW 414116 IND CEO RNn for Rmt 1,500 11500.00 1,50000 ThOmu and PeRne La,wWdl 4111 IND T.M. KCCD 100.00 100.00 100.00 Loyd Inveelmenle, LLC 4/4/18 011H WA WA 8..00 80040 600.00 L.iee MCCamy 4/4/16 IND Homemaker WA 100.00 100.00 100.00 Danny ONZ 4/4116 IND An Sery.Ernpb"d 10040 100.00 100.. M. Frank aml Atone S1. Cher VN16 IND RwI Eebae Bnkar Sea Employed 250.00 25040 250.00 Rkl eM Chins 9Mnne 4/4/18 IND Tuddn9 amrane TnepWa6m. Ina. 450.00 460.. 450.. Suntan COmmOdi . Inc. N4/1B OTH INA IMA 11,250.W 11,250,00 11.250.00 SUBTOTAL $5 r 0130 _130 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 7 of 1_ I.D. Number: 1384218 FULL NAME 67REEr ADDRESS AND VP CODE OF CONTRIBUTOR Date RECEIVED CONTRBUTOR CODE OCCUPATION EAIPLOVERIBUSWES3 AMOUNT RECEMEDTHIS PERIOD CUMUTATIVETO DAIS PERELECTIONTO DATE TNehwMJOp hffi l Co rebon aa16 OTH WA WA 150.00 150.00 150.00 DNe aM Cdleen NTMry GN16 IND Red WA 100.00 100.00 100.00 W. MkOM and Dew Chenok 933124015 IND Retlml WA 100.00 100.00 to000 Sae Us 1016 IND RekeE WA 100.00 10000 10000 Cynthia Giumew 1018 IND Lawry Se8 Emoord 2,W,00 2,500.00 2,500.00 Dr. DEM eM Jan& Gch 41&16 IND paeka Garden Community Chu A 600.00 moo 60000 BN B Napier He 4/8118 IND VP Ama Mews- Umkd Beady Bank 100.00 too.00 100.00 MNa NIII MIs IND Purer JMww R.W. lrrc 100.00 100.00 1ww PA .soNMes PmNeft" AdminikrMNe SyeNms W16 OTH WA WA 10ow 100.00 10000 Jey6 Chdsly Pener9526 4N116 IND Pr9lwaiowl AMNte NFL 600.00 600.00 60000 JMnend Janice SbvY 1018 IND Iwyw BNI EmpWW 150.00 150.00 150.00 P8Aa 4016 IND VP CMOka eicbpkM Supply Co. 250.00 250.00 25000 3119TUTal $A ,R-in _ QQ schedule A (continuation Sheet) Monetary Contributions Received Name of Filer: Karen Goh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4123/16 Page g —of _18 I.D. Number: 1384218 FULLNAME. STREETADDRESSANO2 3PCODEOFCONTWBUTOR DATE RECEIVED CONTRIBUTOR CODE OCCUPAMN EMPLOYERIBUSINESB AMOUNT RECENEDTNIS PERIOD CUIBULATIVETO DATE PERELECTIONTO DATE Denll G. W1ii11an. JrE� MI Enpimer CwneNCne Engineering, lnc 150.00 150.00 15000 Dor nw+INe BmIU NM COnbd, 1.c 250.00 250.00 25000 man BMdaKnnni CA 1Ci0GMO 5upMMMOeM County ar Kem 100.00 100.00 10000 Redraw Sr. and Beabice Berman VINDOPM�Cbglm daney Retlrtd 100.00 100.00 100.00 I., C.r. Bakeiafikl, CA ubf Inlomndon eakerereM City Sdnd ONl 15000 15000 150.00 I OenkB Chanp,M.D. PhMeImdiand Empbe Eye SLaser CeMn 1,000.00 1,000.00 1,000.0 0 AMR; TmmOalt lnm MIS 0TH WA WA 75000 73000 750.00 AnadaMoverdune Inc. 441/16 OTN WA WA 500.00 500.00 500.00 Kdelen Bamea UM16 IND CEO Kam Canmun8y F0unnI 100.00 100.00 10000 Robe" and Loeb Barras 419118 IND P.Imphodig DWpnda Randud". Cap 150.00 160.00 15000 Peppy Cde 4/8/16 IND Refeed WA 100.00 100.00 100.00 Pa nM Then.COBne 418118 IND CEO Herbe "P. Sena CO. 600.00 800.00 800.00 SUSTOTIIL s 'A, 950.00 Schedule A (Cordlnustlon Sheet) Monetary Contributions Received Name of Flier: Karen GOh for Mayor 2016 Statement Covers Period from 111116 Through 4/23/16 Page _y _of 18 I.D. Number: 1384238 werrcrr Ls!0,425.00 AMOUNT DATE CONTRIBUTOR RECENEDTH8 CUMUTATNETO PERELECMNTO NLLNAMESTREETADOREEBAND2 IPCOOEOFCONTMBI RECENED CODE OCCUPATKIN EMPLCYERIBUSINEES PERIOD DATE DATE IRkeNd a LenWie Du a "le IND MenaperrteeMer Fbel Card FUe4 1,000.09 1,0M A0 1.00000 IMr umber YL19 IND RetlrM WA 3,000.00 3,000.00 3,000.00 �0evd end Cadledns DN NN1a IND Real ERNa SNr Empb9ed 150.00 150.00 150.00 i G r ParraM d AeeOMelee, LP dba Adept Denial Group Shater 4016 0TH WA WA 225.00 225.00 225.00 Jae eM UN Green 4 16 IND Aft n Gdmmeay Fame 50000 500,00 500.00 Grpey O. Bynum 6AeeodalN, we OTH WA WA 1,000.00 1,000.00 1p0060 Mary Hadbr 419/18 IND GOr CWrecla SW EmplWed 30000 30000 30000 Gtry OM CyMIa INMC 4MIS IND F4mer SeBEmplom 750.00 750.00 75000 IMe, .,dBMMPr u= Age 418116 0tH WA WA 300.00 300.00 300.00 rGdd00 hen 4M18 IND Dspdy DmMACamey Coumy of Kem 100.00 100D0 100.00 Kem ReNea OspuM, I= 4/ 19 CMA WA WA 2,500.00 2,500.00 2.900.00 'NNns KiMenmen IS IND Preeldenl Nrsd w EMaydwe. Inc. 600.00 800.00 800.00 werrcrr Ls!0,425.00 Schedule A (COndnuatlon Sheet) Monetary Contributions 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 FUUN E.STIIEETADDRE MOMPCODEOFCCNTWBUTOR DATE RECEWED CONTRIBUTOR CODE OCCUPATION EMPLOTERIBUMNESS AMOUNT RECENEDTNIS PERIOD CUMUUMETO DATE PERELECTKINTO DATE LUtky]Food 51on 9184198 MIS OTH WA WA 25000 250.00 250.00 �- vGrvnm MCMW] M8116 IND Bu.ett QMer GrlmmMfy EMORMees 5,0130w 5.00000 5,000.00 MMbn MIMe82900 0.9110 IND Retied WA 200.00 200.00 200.00 DaWd B Judith ONwn MIS IND Pneidenl MMenI TBe Sery .Inc. 150.00 150.00 15000 Omaga Financial Alnaurance Services MIS 0TH WA INA 250.00 250.00 250.00 Edaacl and Maria Paine MIS IND VP Human Raaourtae Jim Bunt Fad 300.00 300.00 300.00 Groin and PWO PMN MIS IND Physician WEmployed 1,250.00 1.25000 1,250.00 Pehkkl ne M.D. tm. MIS OTH PhyWan PYXrk Leung M.D. Inc, 1,100.00 1,10000 1.10000 BM PMm MIS IND Omror Sen JopWn BE Service, Inc. 1,50000 1,500.00 1.500.00 Tc neka Panel 1/&18 IND Pn adMCEO KC Slack Chanter d Oahmerce 150.00 150.00 15D00 Pr nn. Sdulona W PH", 4Mne OTH INA WA 500.00 SOON 500.00 I FnnN ant Sueen Rowe 418118 IND Phyvn SN.EmpI m 1,]50.00 1,750.00 1,750.00 ZZNMWTITIWIII I♦ Schedule A (Continuation Sheet) Monetary Contributions Received Name of Filer: Karen Goh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4/23116 Page 1L of A I.D. Number: 1384218 FULL NAME. STREET ADDRESS AND 2IP CODE OF CONTRBUTOR DATE RECEIVED CONTRIBUTOR CODE OCCUPATION EMPLOYERIBUSINESS AMOUNT RECEIVEDTNIS PERIOD CUMULATVE TO DATE PER ELECI6ON TO DATE Dina SamiOpe nd KMOMro Raaenko91" 4016 IND Relked WA 250.p0 2:A.00 25000 Err 1 JUdy 51uw 4RU16 IND Aft ro' BMEmPayed 60000 800.00 800.00 Rau Sp628r 41N18 IND Fannin M. SRDAr83om.lOC 500.00 500.00 500.00 TM Jss ka"Dry Ca rIM WWI$ OTH WA WA 50000 500.00 50000 Clod Trmpo BWweN, C, 4018 IND CEO So. Celfomia Melly Oale9e 20000 200.00 200.00 YwM Tmu Ne118 IND ReNOr ReRAaK GNdan E" 150.00 15000 15000 EUBna aM NMa VO 4AV16 IND Homemaker WA 400.00 400.00 40000 Raymond RM MaaeM Walmn 4/6/18 IND ReWed WA 150.08 Moo 150.00 VAW am Kamm Wmn 4/8118 IND Ra6nd WA 15000 150.00 15000 Ynkn Commniueona. Ix, 4 16 0TH WA WA Bo0.00 808.00 600.00 uapM1 Bqb 4I1M18 IND Aftrt CRfmd 6B— 100.00 100.00 100.00 1 Jame am j" Mm, ownaln N1L16 IND PlodeM Sm60'a Bakerlu,Inc. 150.00 15ow 15000 su rmnraL S3 750.00 Schedule A jUnnnuatiOn Sheet) Monetary Contributions Received Name of Filer: Karen Goh for Mayor 2016 Statement Covers Period from 1/1 /16 Through 4123116 Page 12 of 18 I.D. Number: 1384218 1 1 1 11,� AMOUNT FULLNAME .STREETADDRESSANOOP000EOFCONTA MR DATE RECEIVED CONTRIBUTOR CODE OCCUPATMN EMPLOYERRIUSINESS Mc,,, DTWS PERIOD CUMUUA TO DATE FERELECTIONTO OATE Ca* NM. Ire. 411118 OT WA WA 250.00 250.00 25000 or 7d SIMnl Da9on 4/13116 IND CEO ,vu Commun6y Blood Bank 20000 200.00 20000 Good 6amadvrH Aar 4113116 OTN WA WA 1.000.00 IOM 00 100000 Grhnmrxy Edegr . Inc. QJW16 OTN WA WA 890.00 80000 800.00 JMn HWe11700 413116 IND Acxudad COumdNem 350.00 35000 350.00 JMn aM In9M Lela 4113118 IND EnMive Rainlor Red 2.500.00 2,50000 2,500.00 MbMM errd CeMeMe Main M1116 IND Mana9mnemC.Um SaBEmpbyed 250.00 250.00 250.00 Nk1rel Famly LLC 4113116 OTH WA WA 600.00 Moo 80000 Pa A9 ManagamMl. Inc N13116 0TH WA WA 250.00 256.00 256.00 May.Y.0 4113116 IND R, WA 1,000.00 1,000.00 100000 AdMny Vlrreywde WIW16 0TH WA WA 80000 600.09 660.00 qnM mnn Fam,. Jr 411e116 OTH WA WA 2,50000 2,500.00 2.600.00 1 1 1 11,� Schedule A (Continuation Shea) Monetary Contributions Received Name of Filer: Karen Goh for Mayor 2016 Statement Covers Period from 1/1/16 Through 4123/16 Page 13 of 1R I.D. Number: 1384218 FURE93ANDOPCODEOFCONTRBi2T0R DATE RECEIVED CONTR ®,11I CODE OCCUPATION EMPLOVERBU8INESS AJADUNT RECEIVEDTNB PERIOD CUMUL TIVETO DATE PEREM"ONTO DATE DY N1 8116 IND Hrwmaker WA 5,000.00 5,000.00 5,000.00 Mr VMna LSMO VMS IND Bvs&vua Manager Kam C."Lkau, 10000 100.00 100.00 Jen LXgWq 4=16 IND A.0001M.M. GO"YWITn OMOD 300.0 300.00 Han, Goh x22116 IND Ratlled WA 50000 500.00 50000 tiMa Mn Hamm D.C. G2N16 IND Chim9racmr Ouanum Chi"ivcSc 500.00 500000 Soo Do V R. Fns Ban a W C... Ina 11122116 DTH IWA WA 100.0 100.00 100.00 aa,,TALS6,700.00 ScheduleE Amounb maybe nentl4d statement sown wdotl e- e to v4roM dolMn. a - Payments Made from 1/1/16 through 4/23/16 Pas, 14 of 18 1384218 Karen Goh for Mayor 2016 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. NAMEANDAODRESSOFPA77F7 MSR member communications RAD radio almme ant production cosh CMP campaign parapbematiamssc. MTG meetings ant apwarances RFD rearmed mmAbuo.ns LNS campaign coroultaMS OFC Deco expenses SAL rem paiabeoAers' and Ma CTa contribution (explain nonmonetary)' PET partan d.ladng TEL Lv, or cabb airtime and protlucdon cosh CVC civic donations _ PHO phone banks TRC candidate travel. lodging. and meal. FIL candidate filingmagol fees POL polling aM survey research TRS ataehpouee tram, lodging. antl meals FND fuMreismg events malopposing olhers (explain)• POs poNage, delivery ant messenger service TSF transfer between committees at OIe same ceMitlate /aponsar IND mdewndem expenditure auppor PRO profese.md a.m. (bgal, accounting) VOe rayon sfi.- LEG rt legal delenea Damn meramra and maAh'. PRT prim ads v c�en. pntemeu o-maul ' Payments that an contributors or indeperlderd exwndlarres must also be summarized on schedule D. SUBTOTALS 1,790.08 Schedule E Summary .,. 4,144.74 1. Itemized payments made this period. (Include all Schedule E 70.00 2. Unkemized 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. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 4,214.74 FPPC Form 460 pan/20161 WPC Advice: advice@fpp,m.gw (966/273 -3772) www.fPpc.ca.gov NAMEANDAODRESSOFPA77F7 NT , coumroE K. EM D. HV Western Pacific Research, Inc. Harland Clarke I Best Party Rentals ' Payments that an contributors or indeperlderd exwndlarres must also be summarized on schedule D. SUBTOTALS 1,790.08 Schedule E Summary .,. 4,144.74 1. Itemized payments made this period. (Include all Schedule E 70.00 2. Unkemized 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. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 4,214.74 FPPC Form 460 pan/20161 WPC Advice: advice@fpp,m.gw (966/273 -3772) www.fPpc.ca.gov Schedule E (Continuation Sheet) Payments Made SEE INSTRUCTIONS ON REVERSE Karen Goh for Mayor 2016 Amounts may be rounded to arhols down. SCHEDULE mm 1/1116 a' r - o tllrou h 4/23/18 g Pape 15 of 18 1384218 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campaign paraphinaka/nisc MSR member communications RAD radio airtime and production costa CNS campaign conaultants WG meetings and appearances RFD mooned contributions CTS contribution (explain nonmonetary)' OFC office expenses SAL Campaign workers' Wariea CVC dNC donations PET petition drcolating TEL LY, or cable Wirtlme and production costa FIL candidate MMpNallot fees PHO phone banks TRC candidate trawl, Wgirp, and names FND findraisi g ewrds POL poling and wrsey researdl TRS atalfhpouse bawl. ladgirp, and meals IND independent expend9un supporting /opposing Mom (eoplain)' POS postage, deliwry end messenger services TSF transfer between mosoltieea of One some candidate/sponsor LEG legal defense PRO prohn alonM seMces (legal, accounting) VOT voter Manson LIT campaign Iterations and maifings PRT print ad. lAER Informed. tecimaeogy coats (internal, e-maib NAIIE AND ADDRESS OF PAYEE Ar CCMNniFE. KSa EMEX I.O. M.M9n1 CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Pork Chop 8 Bubbas BBQ FND 1,956.60 Vons FND 398.06 ....,da,di.. ,.. uw...d.m.....dm,... m „M.I.n ti.emm.d..d a. C,iwl,e. n. SUBTOTALS 2 354 66 FPPC Form 460 pan/20161 FPPC Advice: adalos"Itc.o.goe (966/2753772) www.fPPC.ce.goy Schedule F Accrued Expenses (Unpaid Bills) Karen Coh for Mayor 2016 Amounts may be rounded W whole dollars. Sort caven Period no 1/1/16 4/23/16 SCHEDULE Page 16 of 18 I.D. NUMBER 1384218 CODES: If one of the following codes accurately describes the payment, you may enter the code. umervase, oesmDe me payment. CMP campaign panphemallalmisc. MBR membercommuniwtions RAD radio ahrme and production costs CNS campaign consultants MTG meetings and appearances RFD SAL mWmed cantibutione campaign workers salaries CTB contribution (explain nonmorwtary)' OFC PET office expenses pel tlon circulating TEL L. or cable airtime and prodWion coats CVC civic donations PHO banks TRC candidate travel, lodging, and meals FIL candidate fitinpallot fees POL phone polling and survey research TAB staNSpouse travel. Wallis, and meals FND IND fundraising everts independent expenditure supportinglopposing others lexplaln)' POS postage, delivery and messenger seMces TSF transfer between committees of Me same candidate /sponsor LEG legal defense PRO pmfesslonal services (legal, accounting) VOT v.ter register. - 2,770.92 ,.,.m„ne PINT print ads WEB Incarnation technology costs (imemet. e-o ai0 e. p) gg kl (d) NAMEAND ADDRESS OF CREDITOR CODEOR OUTSTANDING AMOUNT INCURRED AMOUNT PAID OUTSTANDING arwaama,. Iomolo,Neflaos DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THIS PERIOD BALANCEATCLOSE OF THIS PERIOD 4N-`q NEGOm.Nis OF THIS PERIOD Western Pacific Research, Inc. CNS 0.00 2,000.00 0.00 2,000.00 Western Pacific Research, Inc. SAL 0.00 2,770.92 0.00 2,770.92 Western Pacific Research, Inc. TRC 96.60 0.00 86.60 - permene Meters remdammsor md.w flora sgNseh.ee mart also be SUBTOTALS S 0.00 $ 4,867.52 $ 0.00 S 4,867.52 ii.mmardisal on S.heawe D. Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 8,801.43 accrued expenses of $100 or more, plus total unitemized accrued expenses under $ 100.) ....................... .......................INCURRED TOTALS E 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0.00 accrued expenses of $10W or more, plus total unitemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS E 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A. Line 9.) ................................................. ............................... NET $ 8,801.45 M %ES •,�epetlw tome r FPPC Farm 460 (Jan /2016) FPPC Advice: a dvim@fppc.m.Pv(866 /273 -3772) www.fpPC.ca.Bov Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Karen Goh for Mayor 2016 Amounts may be munded to whole dolls.. Statement cow. psdod from 111/16 - 4123/16 SCHEDULE F(CONT) Page 17 of 18 I.D. NUMBER CODES: If one of the following Codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. CMP campalgn pa.phemallalmisc. MBR membarmmmunicetions RAD radio airtime and produdion costs CNS campaign consultants MTG meetings and appeamnces RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workera'5ala6es CVC awc donations PET petition d=labng TEL t.v or cable airtime and production costs FIL candidate filinoallol fees PHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS staff /spouse travel, lodging, and meals IND independent expenditure supporting /opposing others(explain)• POS Postage, delivery antl messenger sernces TSF transfer bohmen committees of the same candidate /sponsor LEG legal defense PRO professional services (legal, accounting) VOT vofen mgisbatlon LIT campaign Ifteratum and nudih a PRT print ads WEB Information fedmology costs (Internet, e-mail) ' Payments that am contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTALS$ 0.00 $ 2,508.11 $ 0.00 $ 2,508.11 FPPC Form 460 (Jan /2016) FPPC Ads.: a dul."PC...gov(966 /2]5-3]]2) www.fpPC.ra.gs, (a) (b) Ic) (d) NAME AND ADDRESS OF CREDITOR CODEOR OUTSTANDING AMOUNT INCURRED AMOUNTPAID OUTSTANDING OFCCaamsE.aso ENTM 1.0. ruaaFxl DESCRIPTION OF PAYMENT BALANCE BEGINNING THIS PERIOD THISPERIOD SALANCEATCLOSE OFTHISPEMOD OF THIS PERIOD Wren Kelly CPAs, LLP Western Pacific Research, Inc. Subvendor: Office Depot SUBTOTALS$ 0.00 $ 2,508.11 $ 0.00 $ 2,508.11 FPPC Form 460 (Jan /2016) FPPC Ads.: a dul."PC...gov(966 /2]5-3]]2) www.fpPC.ra.gs, Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Karen Goh for Mayor 2016 Amounts may be rounded to whole dollars. Sbtemant'overs parlotl hom 1/1/16 4/23/16 SCHEDULE F(CONT.) page 18 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 I araphern.ka/misc. Malt member communications RAD radio aldims and produdkm costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL TEL campaign workers' salaries t.v. or cable airtime and production mats CVC ci C donations PET PHO petfiondiculafing banks TRC candldate travel. lodging, and meals FIL candidate filing/ballot fees POL phone and surrey research TRS stalespause travel, lodging, and meals FND IND fundralsing events Independent experMiture suppoNnglopposing others (explain)' POS polling postage, delivery and messenger summa TSF transfer between committees of the same candidate /sponsor LEG legal defense PRO professional sendees pegal ,accounting) VOT WEB voter registration information technology costs (Internet, e-magi LIT campaign literature and mailings PRT print ads ' paymenb that am contributions or Independent expendtures must also ba summarized on Schedule D. Subvendor: Parker Davis Karen Goh Bus tress Cards SUBTOTALS$ 0.00 11 1,425.80 $ 0.00 $ 1,425.80 _ 4 FPPC Form (Jan /2016) FPPC Advice: aEWce @fppcu.gov (866/275 -5772) www.fppc.ca.gov