HomeMy WebLinkAboutGOH 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