HomeMy WebLinkAboutGOH 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