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Home My WebLink AboutTKAC PREELECT16(1) 09/15/16Recipient Committee COVERFAGE Campaign Statement CBS stamp Cover Page ' (Government Code Sections 84200 16.5) 6 SEI p z(9 Statement covers period Data of alactian If applicable: lor O1 /ol /2016 (Month, Day, YBar) from - -' Official Use only SEE INSTRUCTIONS ON REVERSE threa., 09/34/2016 11/08/3016 1. Type of Recipient Committee: All cnmmlnaaa -Cp pl@W Perta 1, 2, a, and 4. 09/15/20016 2. Type of Statement: f CITY STATE ZIP CODE AREA CODEIPRONE CITY STATE ZIP CODE AREA COOEIPHONE OPTIDNAE FAX I E -Mail AODRFSS OPTIONAL: FAN I EMAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the bestpkrayk��aIM1ei 3adon cpl�aiA�it herein and In me attached schedules is true and complete. I cerlfy under perefly of perjury under the laws afthe Slate of California that the foreaoirm is hue andd0coo [[eefft / 778 Executed on 09/15/20016 ay f b sly nlTTN- EMHTHXP on 09 /15 /�]MO16 By nw apaNaMf a umpµwanlw Re�pviAegM¢re150.vaw ExeCUletl On By For, Lvinyin9ri. LmMae.SMalAemue pixxnenl Executed an By ay. so^awlaarwamNasommw.cm4a . m. alaeMeww. napalau FPPO Form 466 (JenR816) FPPC Advice: advlm@fpP .ce.gov (86=75.3]]2) wLnv.neHlle.com ..fppc gBl Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Jeff Tkac OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) City Council Member: City of Bakersfield District 5 RESIDENTIALIBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: Listany oommieaee not Included In this statement mat are controlled by yaw w are primarily abstract to receive contributions or make eapendl vas on beheld a your candidacy. COMMITTEE NAME LD. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS (NO PO. BOX) CITY STATE ZIP CODE AREA CODEIPHONE COMMITTEE NAME I.D.NUMBER NAMEOFTREASURER OONTROLLEDCOMMITTEE? ❑ YES ❑ NO COMMITTEEADDRESS STREETADDRESS(NO PO, BOX) CITY STATE ZIP CODE AREA CODEMHONE www.netffle.com PART Page 2 of 21 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION E] SUPPORT ❑ OPPOSE Identify the controlling officeholder, candidate, or state measure proponent, if any. NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT OFFICE SOUGHT OR HELD DISTRICT NO, IF ANY 7. Primarily Formed Candidate/Officeholder Committee List names of oebeholder(sl or ashAdffie(s) for which this committee is pdmadly harmed. NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (] SUPPORT ❑ OPPOSE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD E] SUPPORT ❑ OPPOSE Attach continuation sheets If necessary FPPC Form 460 (Jan/2016) FPPC Advice: advice &ppc.ra.gov (66 612753172) www.fppc.ca.gov Campaign Disclosure Statement Amounts may be rounded Summary Page to whole dollars. Statement covers period from 01/01/2016 Jeff Tkac for City Council 2016 Contributions Received 1. Monetary Contributions ...._ ................ 2. Loans Received ............................... 3. SUBTOTAL CASH CONTRIBUTIONS 4. Nonmonetary Contributions ............... 5. TOTAL CONTRIBUTIONS RECEIVED Colunt 10 a1a¢reaion mere .ecreoscreeoles .............. Srhadhle A Linea $ 39,150.00 - ........... Schedule E, Lore 4 7. Loans Made ... .... ......................... ............................ schedule e, Loa 0000........... Schedules Loa 10,000.00 ........ 0....... schedule F Los 10, Nonmonetary Adjustment - ..... .................._.._......... Schedule C, Loa 3 ................... AM Lineef 12 $ 49,150.00 ............... Schedule C Line 3 0.00 ...........0000....... Add lines 3 +/ $ 49,150.00 Expenditures Made 652.78 6. Payments Made... ....... - ........................ ... - ........... Schedule E, Lore 4 7. Loans Made ... .... ......................... ............................ schedule e, Loa 8. SUBTOTAL CASH PAYMENTS .... ......... ............ AddLone 6 +7 9. Accrued Expenses (Unpaid Bills) ............ 000 ........ 0....... schedule F Los 10, Nonmonetary Adjustment - ..... .................._.._......... Schedule C, Loa 3 11. TOTAL EXPEN DITURES MADE ................. .._--- ..... Add Loss a +9 +19 Current Cash Statement 12. Beginning Cash Balance ....................... Prevwux summary Page. Line 16 13. Cash Receipts ......... ....... ................. .................. Column A, Lire 3 abere 14. Miscellaneous Increases to Cash __000_0 ................. Schedule t, Ever 15. Cash Payments ................... 0........................000... 7Romn A.LMe8above 16. ENDING CASH BALANCE 000_0.... Add Linea 12+ 13+ 14 men Subtract fine 15 If this is a termination statement, L'ne 16 must be zero. $ 13,652.78 0.00 $ 13,652.78 315 -82 0.00 $ 13,968.60 $ 0.00 49,150.80 0.00 13,652.78 $ 35,497.22 17. LOAN GUARANTEES RECEIVED ........................... Sehenurea Pwl2 $ 0.02 Cash Equivalents and Outstanding Debts 18. Cash Equivalents... ................ -- - .......... Seeinamnansonmoor, $ 0.20 19. Outstanding Debts ......................... Add Lore 2+ L. 9 o Cwumn a above $ 12,315.82 w .netflle,com through 29/24/2016 Pega 3 of 21 D. rWMBER Column B uALENEAR YEAR $ 39,150.00 10,000.00 $ 49,150.00 0000 $ 49,150.00 $ 13 652.78 0.00 $ 13,652.78 315.82 0.00 $ U,968. 60 To calculate Column 8, add amounts in Column A to the corresponding amounts from Column B of your last report. Some amounts in Column A may be negative figures Nat should be subtracted from previous period amounts. If tis is the first report being filed for this calendar year, only cart, over the amounts from Lines 2, 7, and 9 (if any). 387683 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through W30 7/1 to Date 20. Contributions Received $ $ 21. Expenditures Made $ $ Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (a aulyen to vd unhry EoreMINn omm Date of Election Total to Date (mm /dd /yy) $ $ 'Amounts In this section may he different from amounts reportetl in Column B. FPPC Form 460 (Jant2016) FPM Advice: advim@fppc.ea.gov (86112753772) www.fPpc.ce.gov ScheduleA SCHEDULE A Monetary Contributions Received Amounts twhole dollars. rounded statement covers period e _ 4 .1 from (1 /(1 /2(16 .' through 09/24/2016 Page 4 of 21 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I O. NUMBER Jeff Tkac for City Council 2016 138]683 IF AN INDIVIDUAL. ENTER AMOUNT CUMUTATIVETODATE PER ELECTION DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIB CALENDAR YEAR IODATE RECEIVED OFCwmmeenlsOervimm rvuWeeal CODE + (ICUPATION AN ErrzEn NeME PERIOD JALEND ( DEC. 31) (IF REQUIRED) OFa14NE55) 07/23/2016 Jonathan R. Garger, D.M.D. Inc []IND 200.00 200.00 MOTH ❑ PTV ❑ SCC 07/28/2016 Jeffrey T Andrew Inc ❑IND 750.00 750.00 QOTH ❑ PTV ❑ SCC 08/01/2016 Stockdale Real Estate Group ❑IND 250.00 250.00 []OTH ❑PTV ❑SCC 08/09/2016 Scott sirschenmann Farms, Inc E]IND 1, 000. on 1,000.00 OTH ❑ PTV ❑FCC O8 09 2016 UBP- Bakersfield In[ ❑IND 250.00 250.00 [nOTH ❑PTY ❑SCC SUBTOTALS 2,450.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.) $ 38, 900.00 2. Amount received this period— unitemized monetary contributions of less than $100 .............................$ 250.(0 3. Total monetary contributions received this period. Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1. TOTAL $ www.netfle.com •Contributor Codes IND- IndiWdual COM - Red pient CommiOee (other than PTY or SCC) 0TH - Other (e g., business entity) PTV - Political Party SCC -Small Contributor Committee FPPC Form 460(Jan /2016) FPPC Advice: advin;,WppcUWNgov(866/2753772) w ve.flepc.ce.g" Schedule A (Continuation Sheet) SCHEDULE (CONY) Monetary Contributions Received Amounts may be rounded Statement covenPedod a. to whole dollars. • ' from Ol /Ol /201fi e� through 09/24/2016 Feel 5 of 21 NAME OF FILER LO. NUMBER Jeff Tkac for City Council 2016 138]683 FULL NAME, STREET ADDRESS AND ZIP CO IF AN INDIVIDUAL, ENTER AMOUNT CUMULAMVETODATE PER ELECTION DATE Ore0M41i1'e, ^is0Fn7Enm xuuaem CONINBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE RECEIVED CODE pf seLVFrnacRO, uv, ' u.E PERIOD (JAN .1 -DEG . 31) (IF REQUIRED) oreuslxERS) 08 19 2016 Diane S Lake �% IND NDmemaker 5,000.00 5,000.00 []OTH ❑PTY ❑SCG 08/31/2016 Eric Berg O)ND Attorney 100.00 100.00 ❑ OTH ❑PTl ❑SCG 08131/2016 Scott Garrison ®IND VP Sale. 500.00 500.00 710TH 71 PTY ❑SCC 08/31/2016 Kern Valuation Services BIND 200.00 200.00 71K OTH ❑PTY ❑SCC Peter R Lever oni IND Telecoreaunications ❑COM ❑ OTH 71 PTY ❑SCC SUBTOTALS 5,900.00 'CoItnbutor Codes IND - individual COM- Recipient Commune (other than PTY or WC) OTH - Other (e g., business entity) PTY - Political Party SCC -Small Comnbutor Committee www.netfle.com Pon Form 460 (Janli016) PPPC Advice: advica®fppc.cAgov (66&2]SJTT2) www.fPPC.ca.9ov Schedule A (Continuation Sheet) SCHEDULE A (CONT ) Monetary Contributions Received Amounts mar be rounded statement covers period ,. towholedollars. J 0 t hom 01/01/2016 a through 09/24/2016 Page 6 of 21 I.O. NUMBER NAME OF FILER Jeff Tkac for City Council 2016 1387683 IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PER ELECTION DATE FULL NAME STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CODE CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE RECEIVED yETADDRESSaervreRm CODE * (IFBELFEMiLO RID EramERrauE PERIOD (JAN. t - DEC. 31) (IF REQUIRED) OF&UNINEae) 09 01 2016 Michael George XQND Danker 250.00 250.00 Credit Union EIOTH ❑ PTV ❑ SCC 09/02/2016 William Joe Roberson %BIND Real Estate Sales and 500.00 500.00 Summit Financial Services E]OTH ❑ PTV ❑SCC 09/03/2016 Lance xowarad QIND Adviso r 11 000.00 1,000.00 ❑ OTH ❑ PTV ❑SCC 09/06/2016 MB Appraisals LJIND 100.00 100.00 Q% OTH ❑ PTY ❑ SCC 09/06/2016 JUL ey Papming Service LLC []IND 500.00 500.00 xIOTH PTV ❑SCC SUBTOTALS z, 3so.bp 'Contributor Codes IND- Individual COM - Recipient Committee (other Nan PTY or SCC) OTH - Filter (e.g.. business entity) PTV - Political Party SCC - Small Contributor Committee wwiv.netffle,com FPPc Form 460 (Jan/2016) FPPC Advice: advice@fppc.w.gov (86612133n2) www.tPpo.ea.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be rounded Statementcoverspedod e. towholedollam. I , from 01/01/2016 e through 09/24/2016 page q M 21 NAME OF FILER D. NUMBER Jeff Tkac for City Council 2016 L.I. IF AN INDIVIDUAL, ENTER AMOUNT CUMUTATIVETOOATE PER ELECTION GATE FULL NAME. STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TODATE RECEIVED IIFCMMIiiEE.N50ENTER10 xumsEal CODE* (IF SELF- EUxOVEh ENTER NAME PERIOD ( DEC . Jt) t JAN. - (IF REQUIRED) OFW91NE55) 09 06/2016 Karen van Horn QXIND Retired 250.00 250.00 QOTH Q PTV QSCC 09/12/2016 Bakersfield Police Officers Association PAC E]IND 5,000.00 5,000.00 flop 943492) 71com Q PTY ❑SCC 09/12/2016 SCOtn Hanson QIND Real state Broker s00.0o 600.00 QOTH ❑ PTV ❑SCC 09/12/2016 John Paul Lake QIND Owner and Advisor 500.00 500.00 ❑ 0TH ❑ PTY ❑ SCC 09 12 2016 Barbara c14mm Mars a %QIND Bomema er 3,000.00 3,000.00 QOTH Q PTY QSCC SUBTOTALS 9.250.00 'Contributor Codes IND- IndiNdual COM - Recipient C ommitlee (other than PTY or SCC) 0TH - Oliver (e.g., business ently) PTV - Political Parry SCC - Small Contributor Committee FPPC Form d (Janl2g16) FPPC Advice: advio9&ppc.ca.gov (86611 www.fmac.ca.gov www.neMle.cofn Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period e. towholedollars. J e' hand 01/01/2016 e' through 09/24/2016 Page 8 of 21 NAME OF FILER D. NUMBER Jeff Tkac for City Council 2016 1387 68 3 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMOUNT CUMUtATIVETODATE PER ELECTION DATE (IFCCMMxrEE. usoseream. NUMaem • OCCUPATIONANDEMPLOYER RECEIVED THIS CALENDAR RECEIVED CODE (IF SELF -E PERIOD (JPN.1- ) N,1 DEC, 31) (IF REQUIRED ) - GFIAGO.EmEaxnME au51xE551 09 Tl2 /2016 Pa lama Park LLC QIND 500.00 500.00 [E0TH Q PTV El SCC 09/12/2016 Da car xuanick MIND Owner 100.00 100.00 Management QOTH ❑PTV []SCC 09/12/2016 Tim Felt QIND General Manager 125.00 125.00 QOTH ❑ PTV ❑SCC 09/15/2016 Golden Empire Towing the ❑IND 1,000.00 1,000.00 0 DTH ❑ PTY Q SCC 09 15 2016 xfis Boy works 6 Towing %QIND i, 000. 1,000.00 []0TH Q PTY QSCC SUBTOTALS 2,725.00 'Contributor Codes IND - Individual COM - Reapient Committee (other man PTV or SCC) OTH - Other (e.g., business entity) PTY - Political Party SCC -Small CoMdbmor Committee FPPC Form 40(Jan12016) WING Advice: advim@fppc.ea.gov (866I276 -3112) ..fpPC.w.gov wws,.netlilexcm Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covars period a. to whole dollars. I , from 01/01/2016 • ' through 09/24/2016 page 9 of 21 NAME OF FILER I.D. NUMBER Jeff Tkac for City Council 2016 1 138] 683 FULL NAME, STREET ADORE SS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PERELECTION TO DATE �� 0 %cwMrtTEa S650EaTeam. uuusem OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (11WIT.EanavEq EmeNrvuw PERIOD (JAN .1 - DEC . 31) (IF REQUIRED) Essl 09/15 2016 Christopher Hinds MIND enviommental Advisor 500.00 500.00 ❑OTH PTV ❑SCC 09/15/2016 Jim's Towing Service, Inc ❑IND T, 000.00 1,000,00 MOTH ❑SCC 09/15/2016 Merriman, Hurst & ASSOCiateS Ing E]IND 200.00 200. 00 QOTH ❑ PTV ❑SCC 09/15/2016 Randy's Towing []IND 1,000.00 1,000.00 MOTH ❑PTV ❑SCC 09 15 2016 510 ar Mr Too , APC RIND 500.00 500.00 MOTH ❑ PTV ❑ SCC SUBTOTALS 3,200.00 'Contributor Codes IND - Individual COM -Re iplent Committee (other than PTY or SCC) OTH - Other (a g., business entity) PTY- Political Party SCC - Small Contributor Committee FPPC Form 460 (JaN2016) FPPC Advice: advice4.Wppc.ca.gov (66611763772) www.fppc.ca.gov www.net/ile.com Schedule A (Continuation Sheet) SCHEDULE (CONT.) Monetary Contributions Received Amountamayberounded Statemenlcoversperiod e. lowholedollars. I , been 01101/2016 e through 09/24/2016 Page 10 of 21 NAME OF FILER LD. NUMBER Jeff TkaC for City Council 2016 138] 683 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVETODATE PERELECTION TODATE DATE pETADDRESS ANDZIP NODEO t OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR RECEIVED CODE (IESELFEMPWED, ENTENNAME PERIOD (AN .1- DECA1) (IF REQUIRED) Os SUSINEcC 097---72 016 A -C EleCiric Company BIND 3,000.00 3,000.00 %BOTH ❑ PTV ❑SCC 09/21/2016 AM Balfour Inc E]IND 100.00 100.00 DOTH ❑PTY ❑SCC 09/21/2016 Michael Hay QIND Insry a rice Agen[ 100.00 100.00 ❑OTH ❑ PTY ❑SCC 09/21/2016 James Center Lundy XQIND President 1,000.00 1,000.00 ❑0TH ❑PTV ❑SCC 09T21 201 Lee Jamieson RIND Partner ,500.00 21500.00 ❑OTH PTV ❑SCC SUBTOTALS 6,700.00 'Contributor Codes IND- Individual COM - Redpier# Commiftee (other than PTY or SIC) OTH - Other (a g., business entity) PTY- Political Party SCC -Small Conhibutor CommiOee wwtv.nef lle.com FPPC Form I66 (Jan/2016) FPPC Advice: advice@fppc.ca.gov(6661276-3772) vAVw./Ppc.ca.9ov Schedule A (Continuation Sheet) SCHEDULE (CONY) Monetary Contributions Received Amounts may be rounded Statement coveFSmanual a. to whole dollars. / e ' from al /al /zo16 •' through 09/24/2016 page 11 O( 21 NAMEOFFILER O.NUMBER Jeff Tkac for City Council 2016 1387683 FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL. ENTER AMCi CUMULATIVETODATE PERELECTION DATE OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED enm.ODEO) CODE * (IFEELF- EMPLOVEn ENTERNM1E PERIOD (JAI 1 -DEC, 31) (IF REQUIRED) OFSUSINERE) 09/2172016 Kern River Partners LLC ❑IND 500.00 500.00 xO OTH PTY ❑SCC 09/21/2016 Gerald O. Matthews Jr E]IND 200.00 200. Do ff]OTH PTY ❑SCC 09/21/2016 Dennis Mullins QIND Attorney 250.00 250.00 ❑OTH ❑ PTY ❑ SCC 09/21/2016 Mustang Square LLC E]I-ND Soo. 00 500.00 X]OTH E] PTY ❑SCC 09 21 70 16 N1C a Fam¢ y LLC BIND 1,000.00 1,000.00 XIOTH ❑ PTV [-]SCC SUBTOTALS 2,450.00 'Contributor Codes IND - Individual COM - Recipient Cammigee (other than PTY or SCC) OTH - Other leS , business entity) PTV - Political Party SCC - Small Contributor Commiftee 1xww.netffle.com FPPC Form 460(Jan12016) FPPC AdAI advice@fppc.w.gov(6 W7&3772) www.fPpc.ca.gov Schedule A (Continuation Sheet) SCHEDULE (CONT) Monetary Contributions Received Amounts may be muncled statementcoyersperted a to wEele dollars. e 1 from 01/01/2016 a' through 09/24/2016 PI 12 el 21 NAME OF FILER 1 D. NUMBER Jeff Tkac for City Council 2016 11 1387683 FULL NAME, STREET A DDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMWM CUMULATIVETO DATE PER ION �� OFCaNmInEEa<so EMSamrvmeenl OCCUPATION AND EMPLOYER RECEIVED THIS CAENDAR YEAR TO DATE TO DATE RECEIVED CODE' IIFSELV- EMPwvEILEmERNANs PERIOD (JAN .1 -DEC . 31) (IF REQUIRED) I 09 21 T2 016 Signature Development Company LJINO 1,000.00 1,000.00 x�OTH ❑ PTV ❑SCC 09/21/2016 Todd Todd %Q IND Office r 125.00 125.00 ❑ OTH ❑ PTV ❑ SCC 09/21/2016 Patricia Young ®IND Special Education 250.00 250.00 earn high School Distirct C]OTH ❑PTY []SCC 09/23/2016 NorklogicHR [ I IND 2,500.00 2,500.00 JOTH ❑ PTY ❑ SCC ❑ IND ❑COM ❑OTH ❑ PTY ❑SCC SUBTOTALS 3,B7 5. 00 'Contributor Codes IND - Individual COM - Reciplma Committee (other than PTY er SCC) OTH - Other (e.g., business entity) PTV - Political Party SCC- Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice&ppexa.gov (116111 www.fppe.ca.gov www.nettille.com SCHEDULEB -PART1 Schedule B— Part 1 Amounts may be rounded statement covers period ........ ............................... $ e , • ' Loans Received to whole dollars. - from 01/01/2016 • SEE INSTRUCTIONS ON REVERSE through 09/24/2016 page 3 of 21 NAME OF FILER I D. NUMBER Jeff Tkac for City Council 2016 1387603 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OUTSTANDING OD AMOUNT (c) AMOUNTPAID d OUTSTANDING a INTEREST ORIGINAL p CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCEAT PAID THIS gMOUNTOF CONTRIBUTIONS OFCODUITreE, uSOENTFn LD. uuMa[m 'w.'r,ruso. Rrtm BEGINNING THIS PERIOD CLOSE OF THIS PERIOD TODATE NPMEOFeU31NESC THIS PERIOD' LOAN Jeffery Tkac Owner PAID CALENDARYEFA f f O.00 W 5.000.00 f 1o. a00. oo This is a loan 0 ❑ FORGIVEN PE0.ELECTION" § 0.00 § 5,0 0,00 § 12/31/2016 § 08/19/2016 y DATEOUE DAiEINCURRED tA] IND ❑ DOM ❑ OTH ❑ PTV ❑ BCC Jeffery Tkac Owner PAID CPLEN.R. § O1. § SA00.00 0.00 y 5,000.00 y lo,00s . oD This is a loan a E] FORGIVEN aERELELTION" E 0.00 E 5,300.00 f O.CO 12/31/2016 § 0.00 09/06/2016 a DATE DUE DATE INCURRED tE5 IND ❑ COM ❑ OTH ❑ PTY ❑ SCC L] PAID CPLENDARYEAN E f FORGIVEN FEREIELTION" -Ts E f DATE DUF OgiE INCUwtm T] IND ❑ COM E] OTH L] PTY E] EGG SUBTOTALS S la, ooa ll$ i,ir$ 1s. soo.aoS a.00 Schedule B Summary 1. Loans received this period ........................ ............................... (Total Column (b) plus unitemized loans of less than $100.) 2. Loans paid or forgiven this period ............................... ............................... (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third parry that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1 .) ............................. Enter the net here and on the Summary Page, Column A, Line 2. 'Amounts forgiven or Paid by another Pant also must be reportetl on schedule A. It reOUired. www.neMlle.com ...... . ...... ..... .... .... ........... — $ 101000000 ........ ............................... $ 0.00 NET $ 1o, 000.00 (M.. �wn-1ws (E (6)on SPwwaeE B-3) tContdbutor Codes IND - Individual CO M - Redpient Committee (other than PTY or SCC) OTH - Other (e.g. business entry) PTV- Political Party SCC -Small Contributor Committee FPPC Form 460 (Jant2016) FPPC Advice: advlcaMppc.ca.gov (866/276 -3772) www.fPPc.ca.gov Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE Jeff Tkac for City Amounts may be rounded to whole dollars. covers from 01/01/2016 through 09/24/2036 I page 14 of 21 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1397683 O.P campaign paraphemalia/misc. NUR membefcommunications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetaryl OFC office expenses SAL campaign workers' salaries CVC civic donations FIET petition circulating TEL t v. or cable airtime and production costs Fill candidate filing/ballot fees PHD phone banks TRC candidate travel, urging, and meals FIND fundraising events POI- polling and wmey research TRS staff /spouse travel, lodging, and meals PD independent expenditure supporting/opposing others (explainp POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponcor LEG legal defense PRO professional services (legal, accounting) VOT voter, registration LIT campaign literature and mailings FRIT prim ads VIEB information technology costs (Internet, e-mail) NAME AND ADDRESS OF PAYEE pr couemFE. use ernes m. NUMeeal CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Daizy 6 Associates PRO Accounting Services 261.00 Landslide Coarounications LIT 1,000.00 COGS South Signs CRT 11838.00 a Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 3,099.00 Schedule E Summary 1. Itemized payments made this period. (include all Schedule E subtotals .) ........................... 2. Unitemized payments made this period of under $100 ........................ ............................... 3. Total interest paid this period on loans. (Enter amount 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.) www.nefffle.com $ 13,578.28 $ 74.50 ... ............................... $ 0.00 ..................... TOTAL $ 13.652. 78 FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: S66/ASK.FPPC (SM27S3772) weew.tppc.w.gov Schedule E (Continuation Sheet) Payments Made Jeff Tkac for City Council 2016 Amounts may be rounded towholedollars. Statement covers Period from 01 /01 /2016 through 09/24/2016 Page 15 of 21 LD. NUMBER 1387683 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. QW campaign paraphernalia /mist M R membercommunications 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 dvic donations PET petition circulafing TEL t.Y. or cable airtime and production costs FIL candidate filinglballot fees PfiD phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS sta8/spouse travel, lodging, and meals ND independent expenditure suppartingloppssing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidatelsponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration Lg campaign literature and mailings FF T print ads wEB information technology costs (intemet, e-mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID (IF COMMITTEE ALEG ENTER I D NUMBER) COGS South Signs ME 1,038.00 Western Pacific Research CBS 2,000.00 %im Schaefer and Associates CNS 3,500.00 Kim Schaefer and Associates OFC 375.36 EFundraising OFC Credit card processing fee 16.75 e Payments that are contributions car independent expenditures must also be summarized on Schedule D. SUBTOTALS 7,730.11 FPPC Form 460(Jao12016) FPPC Toll-Free Helpline: 8661ASK -FPPC (866/275R3T12) www.net ile.com, www.fPINCRu.gov Schedule E (Continuation Sheet) Payments Made Jeff Tkac for City Council 2016 Amounts maybe rounded to whole dollars. Statement covers Period hom 01/01/2016 through 09/24/2016 Page 16 of 21 I.D.NUMBER 1387683 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Ovis campaign paraphemalia /mist. IvER membercommunications HAD radio airtime and production costs CNS Campaign consultants MTG meetings and appearances RFD returned contributions CM contribution (explain nonmonetI OFC office expenses SAL campaign workers' salaries CVC dvic donations FET petition circulating TEL tv. or cable ainme and production costs FIL candidate filing/ballot fees FHO phone banks TRC candidate travel, lodging, and meals FIND fundraising events P% polling and survey research TRS staff /spouse travel, lodging, and meals W independent expenditure supporting /opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same Candidate /sponsor LEG legal defense Rm professional services (legal, accounting) VOT voter registration LIR campaign Ilterature and mailings PRr print ads WEB information technology costs (Internet, a -mail) NAME AND ADDRESS OF PAYEE CODE OR DESCRIPTION OF PAYMENT AMOUNTPAID Or coMwinEE ALSO em[e I D. NuMBEm Jaizy & Associates PRO Accounting services 448.76 EFundraising DEC Credit Card Processing Fee 98.50 Landslide Communications LIT 1,580.00 Kim Schaefer and Associates MTO 311.78 OeC Credit Card Processing Fee 95.38 Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTALS 2,484.42 FPPC Form 460(Jana016) FPPC TolklEmat Helaine: 8661ASK -FPPC (8661276 -3772) www.netlle.com www.fppc.ca.gov Schedule E (Continuation Sheet) Payments Made Jeff Tkac for City Council 2016 Amounts may be rounded towholedollars. from 01/01/2016 through 09/24/2016 1 Page 17 of 21 1387683 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. O.P campaign parmhemalia/misc. NER membercommunications RAD radio airtime and production costs CNS campaign consultants WIG meetings and appearances RFD returned contributions CM contribution (explain nonmonetmy)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL tv or cable airtime and production costs FIL candidate filing /ballot fees P1O phone banks TRC candidate travel, lodging, and meals FIND fundraising events POL polling and survey research TRS stag /spouse travel, lodging, and meals PD 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) VOL voter registration LIT campaign literature and mailings PZr print ads WEB information technology costs (Internet, a -main NAME AND ADDRESS OF PAYEE (IF GCMMIUTEE, ALSO ENTER I NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID EFUndraising OFC Credit card processing fee 3.75 EFundraising OTC Credit Card Processing Fee 261.00 'Payments that are contributions or independent expenditures must also be Summarized on Schedule D. SUBTOTALS 264.75 FPPC Form 460(Jan12016) FPPC Toll -Free Helpline: 86WASK -FPPC (8665!753112) www.netfi /e.com www.fppc.ca.gov NAME AND ADDRESS OF CREDITOR CODE OR la) OUTSTANDING Ib) AMOUNTINCURRED (c) AMOUNTPAID (tl) OUTSTANDING SCHEBULEF Schedule Accrued Expenses (Unpaid Bills) BAL ANCEBEGINNING Amounts may be rounded towhole dollars. THISPERIOD Statement seven period from 01/01/2016 •- ,• • OF TH IS PERIOD SEE INSTRUCTIONS ON REVERSE (ALSO NEFWT ON E) OF THIS PERIOD SEockdale Country Club through 09/24/2016 1e 21 Peg!- of NAME OF FILER 0.00 315.82 • Payments that are contributions or Independent expandltures must also Be SUBTOTALS $ 0.00$ 31,82$ 0. 00$ 315.82 stanourized Me Schedule 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.) ...................... 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under $100.) 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and on the Summary Page, Column A, Line 9.) ................................................................ ............................... www.net ile.com INCURRED TOTALS $ 315.82 ...................... PAID TOTALS $ 0.00 .......................... NET $ 315.82 Bay m a o"'. erneer FPPC Form 460 (Jan12016) FPPC Toll -Free Helpline: 8661ASK.FPPC (8661275 -3712) www.fppc.ca.gov Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) SEE INSTRUCTIONS ON Jeff Tkac for City Council Kim Schaefer and Associates Amountsmayberounded towholedollam. from 01/01 /2,16 through 09/24/2016 I Page _19 of 21 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment 1387603 CNP Campaign paraphemalialmisc. IvER membercommunicsions RAD radio aimme and production costs CNS Campaign consultants MSG meetings and appearances RFD returned contributions CM contribution (explain nonmonetaryr OFC office expenses SAL campaign W(Srvus' sutures CVC civic donations PET petition circulating TEL tv. or cable airtime and production mats FR candidate filing/ballot fees R-IO phone banks TRC Candidate travel, lodging, and meals FPI) fundraising events POL polling and Survey research TRS stag /spouse travel, lodging, and meals PD independent expenditure supportingloppoaing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate /sponsor LEG legal defense R2O professional services (legal, accounting) VOT voter registration LR Campaign literature and mailings PRr print ads WEB information technology costs (internet, e-mail) ' payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF PAYEE OR CREDITOR ne COMMinEE ALSO ENTER 10. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Woolgrowers Restaurant Pop 8/31/16 - Lunch provided at fundraiser attended by 375.36 Woolgrowers Restaurant MTG 9/14/16 - Lunch meeting attended by Candidate, 231.82 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 607.18 - Oo not transfer W any other Schedule car so the Summary Page. This total may not equal the amount paid s, the agent or independent contractor as reported on Schedule E. FPPC Form 460 (Jan/2816) FPPC Advice: advice pipPC.ca.gov (866/275-3772) www.fppc.w.gov www.nerfile.com Schedule G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Jeff Tkac for City Council 2016 NAME OF AGENT OR INDEPENDENT CONTRACTOR Landslide Communications Amounts may be rounded ammmeorcoversPeri- W hole dollars. born 01/01/2016 through 09/24/2016 I Page 20 Of 21 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment Q.P campaign paraphernalia /mist. hBR membercommunications RAD redio airtime and production Costs CNS Campaign consultants MTG ma dings and appearances RFD returned Contributions CM contribution (explain nonmonetI OFC office expenses SAL campaign "*am salaries CVC civic donations FET petition circulating TEL Lv, or Cable amme and production vests FIL Candidate filingmallot fees PRO phone banks TRC candidate travel, lodging, and meals END fundraising events ROL polling and survey research TIES staff /spouse travel, lodging, and meals M independent expenditure supparing /opposing othere (explaini 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 UT Campaign IiteraWre and mailings FRT print atls WEB information technology Costs (Internet, e-mail) ' Payments that are contribugons or independent expenditures must also be summarized on Schedule D. NAMEAND ADDRESS OF PAYEE OR CREDITOR CODE OR DESCRIPTION OF PAYMENT AMOONTPAID (Ir COMMITTEE, KSO ENTER I D. NUMBER) California Public Safety Voter Guide (ID# 1298740) LIT 516.00 National Tax Limitation Committee Early Voter Guide (ID# 1306386) LIT 516.00 Save PLOP 13 (ID# 598040) LIT 516.00 Small Business Action Committee Newsletter (ID# 1322823) LIT 516.00 Attach additional information on appropriately labeled continuation sheets. TOTAL' E 2,064. 00 Do not easier to any other schedule or to the Summery Page. This total may not equal the amount paid to the agent Or independent coulmactor as reported on Schedule E FPPC F 668 J 12816 oast (an FPPC Advise: advice@fppc.ca.gov (8661215.3]/2) www.fpPC.ce.gov www.netrile.com Schedule (Continuation Sheet) Payments Made by an Agent or Independent Amounts maybe rounded Statement wavers period Contractor (on Behalf of This Committee) to whole dollars. from 01/01/2016 through 29/24/2016 Page 2J_ of I I.D. NUMBER City Council 2016 Landslide Communications CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment CMp campaign pa aphemalia /miser hER membercommunicabons RAE, radio airtime and production costs CNS campaign consukants 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 tv. or cable airtime and production costs FIL candidate filing /ballot fees R-ID phone banks TRC candidate travel, lodging, and meals FIND fundraising events PO_ polling and survey research TRS staff /spouse travel, lodging, and meals FD independent expenditure supporting /opposing others (explainl' 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 PFL print ads WEE information technology costs (Internet, e-mail) R Payments thatare contributions or Indspendentexpenditures mustalso be summarized on Schedule D. NAME ANDADDRESS OF PAYEE OR CREDITOR (surNMITTEE. u50 ENTEE ro. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID Woman's Voice (ID# 1293667) LIT 516.00 Attach additional information on appropriately labeled continuation sheets. TOTAL' $ 516.02 ' Do not trouter to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent w independent contractor as reported on Schedule E. FPPC Form 460 (JBNP016) FPPC Advice: advimQfppc.ca.gov (8661 www.net(le.com www.fpPc.ca.gov