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Home My WebLink AboutGOH SEMIANNI19(2)Recipient Committee Campaign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period from 7/1/19 12/31/19 through 1. Type of Recipient Committee: All Committees -Complete Parts 1, 2, 3, and 4. R1 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure 0 State Candidate Election Committee Committee 0 Recall 0 Controlled (Nso conplue Part 5) 0 Sponsored (Also Comp!c!c Pad G) r_1General Purpose Committee 0 Sponsored ❑ Primarily Formed Candidate/ 0 Small Contributor Committee Officeholder Committee 0 Political Party/Central Committee (Ake cmvve I'm r) 3. Committee Information I I.D. NUMBER 1423226 COMMITTEE NMAE (OR CANDIDATI Karen Goh for Mayor 2020 STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX CITY STATE ZIP CODE AREA CODE/PHONE Date of election if applicable: (Month, Day, Year) Date Stamp I I ! Y OFr -KERS'FI JAN 3 0 2020 COVER PAGE Page 1 of For Official Use Only (;I i Y CLIERK'S OFFS(. 2. Type of Statement: ❑ Preelection Statement ❑ Quarterly Statement ❑ Semi-annual Statement ❑ Special Odd -Year Report ❑ Termination Statement (Also file a Form 410 Termination) ❑ Amendment (Explain below) Treasurer(s) NAME OF TREASURER Shawn P. Kelly MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS OPTIONAL: FAX/E-MAIL ADDRESS 4. Verification I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I certify under penalty of p rjury un eer the laws of the State of California that the foreg . a true and c ect. 1 k— Executed on —v By D c S' a (Trca rrer or Assistant Treasurer Executed on 20 By Date Sign tura of ControiTma(O'fZeholddrtandidake. Stale Measure Proponent or Responsible Officer of Sponsor Executed on Date Executed on By Signature of Controlling Oficehotder, Candidate. State Measure Proponent By Signature of Controlling Officeholder, Candidate. State Measure Proponent FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE Karen Goh for Mayor 2020 OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) Mayor, City of Bakersfield RESIDENTIAUBUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP Related Committees Not Included in this Statement: List any committees not included in this statement that are controlled by you or are primarily formed to receive contributions or make expenditures on behalf of your candidacy. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX) COVER PAGE - PART 2 Page 2 of 5 6. Primarily Formed Ballot Measure Committee NAME OF BALLOT MEASURE BALLOT NO. OR LETTER JURISDICTION ❑ 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 officeholder(s) or candidate(s) for which this committee is primarily formed. 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 ❑ SUPPORT ❑ OPPOSE CITY SIAIL LIY wUL AKLA CUUt/FHUNt Attach continuation sheets ifnecessary FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov C A; Campaign Disclosure Statement Amounts may be rounded to whole dollars. Summary Page SEE INSTRUCTIONS ON REVERSE NAME OF FILER Karen Goh for Mayor 2020 Statement covers period 7/1/19 from 12/31/19 through Expenditures Made To calculate Column B, Column A Column B Contributions Received . Schedule E. Line 4 S ToiAL 7111S PERIOD CALENDAR YEAR 7. Loans Made ....................... ....... Schedule H, Line 3 (FROM AT SCHEDULES) TOTAL TO DATE 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 20,100.00 20,100.00 1. Monetary Contributions ................................................... Schedule A,Line 3 $ $ 0.00 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 0.00 2. Loans Received................................................................ Schedule s, Line 3 4,453.00 S 4,453.00 20, 100.00 20,100.00 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines i +2 S S 0.00 0.00 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 20,100.00 20,100.00 5. TOTAL CONTRIBUTIONS RECEIVED ..................... ............... Add Lines 3+4 S S Expenditures Made To calculate Column B, 20,100.00 6. Payments Made .............................. . Schedule E. Line 4 S 4,453.00 $ 4,453.00 7. Loans Made ....................... ....... Schedule H, Line 3 0.00 0.00 8. SUBTOTAL CASH PAYMENTS .......................................... Add Lines 6+7 $ 4,453.00 S 4,453.00 9. Accrued Expenses (Unpaid Bills ................ Schedule F Line 3 _ 0.00 0.00 10. Nonmonetary Adjustment......................................................... Schedule C, Line 3 0.00 0.00 11. TOTAL EXPENDITURES MADE ........................................ Add Lines 6 + 9 + 10 S 4,453.00 S 4,453.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous Summary Page, Line 16 $ 13. Cash Receipts........................................................... Column A. Line 3 above 14. Miscellaneous Increases to Cash .................................. Schedule t, line 4 15. Cash Payments......................................................... Column A. Line a above 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 S If this is a termination statement. Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule t3, Part 2 $ Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse S 19. Outstanding Debts .............................. Add line 2 + Line 9 in Column s above S 0.00 To calculate Column B, 20,100.00 add amounts in Column A to the corresponding amounts from Column B 0.00 4,453.00 of your last report. Some amounts in Column A may 15,647.00 be negative figures that should be subtracted from previous period amounts. If this is the first report being filed for this calendar year, only carry over the amounts from Lines 2, 7, and 9 (if 0.00 any). Ze SUMMARY PAGE 3 5 Page of 11423226 Calendar Year Summary for Candidates Running in Both the State Primary and General Elections 111 through 6130 7/1 to Date 20. Contributions Received S S 21. Expenditures Made S S Expenditure Limit Summary for State Candidates 22. Cumulative Expenditures Made' (II Subject to Voluntary Expenditure Limit) Date of Election Total to Date (mm/dd/yy) $ Amounts in this section may be different frorn amounts reported in Column B. FPPC Form 460 (Jan/2016) FPPC Advice. advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov qt-harli(la A Amounts may be rounded SCHEDULE A Monetary Contributions Received to wnolc collars. Statement covers period 7/1/19 • from • 12/31/19 4 5 through Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Karen Goh for Mayor 2020 1423226 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED. ENTER NAME PERIOD (JAN. t -DEC. 3T) (IF REQUIRED) Or BUSINESS) Farhad and Fatemah Bashirtash IND El COM Owner 10,000.00 12/4/19 ❑ PTY ❑ SCC Centric Health ❑ IND ❑ COM N/A 10,000.00 12/20/19 ❑ PTY ❑ SCC Fredrick and Pamela Baugher �C7IND ❑COM Retired 100.00 12/31/19 ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS 20,100.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.).........................................................................................................$ 2. Amount received this period — unitemized monetary contributions of less than $100 ...........................$ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $ 20,100.00 1 11 20,100.00 Contributor Codes IND — Individual COM — Recipient Committee (other than PTY or SCC) OTH — Other (e.g., business entity) PTY — Political Party SCC — Small Contributor Committee FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov IN Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Karen Goh for Mayor 2020 Amounts may be rounded to whole dollars. Statement covers period from 7/1/19 through 12/31/19 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. SCHEDULE E Page 5 of 5 I.D. NUMBER 1423226 CMP campaign paraphernalia/misc. MBR member communications RAD radio airtime and production costs CNS campaign consultants MTG meetings and appearances RFD returned contributions CTB contribution (explain nonmonetary)' OFC office expenses SAL campaign workers' salaries CVC civic donations PET petition circulating TEL t.v. or cable airtime and production costs FIL candidate filing/ballot fees PHO phone banks TRC candidate travel, lodging, and meals FND fundraising events POL polling and survey research TRS staff/spouse travel, lodging, and meals IND independent expenditure supporting/opposing others (explain)' POS postage, delivery and messenger services TSF transfer between committees of the same candidate/sponsor LEG legal defense PRO professional services (legal, accounting) VOT voter registration LIT campaign literature and mailings PRT print ads WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF PAYEE (IF COMMITTEE. ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID City of Bakersfield Secretary of State FIL t Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 4,453.00 Schedule E Summary 1. Itemized payments made this period. Include all Schedule E subtotals. 4,453.00 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).)............................................................................. $ 0.00 4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 4,453.00 FPPC Form 460 (Jan/2016) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov