HomeMy WebLinkAboutGOH SEMIANN17(1)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
SYbmant cowne period Date of ofi ctloq l( prAglbQ P,1 1' J 1 Pape
from 1/1/17 (Month, �e'
L
1 FJth
through 6130/17
Of
1. Type of Recipient Committee: All Committees - complete Pane 1. 2,3. and•
2. Type of4itatement: -` -,
0 Officeholder, Candidate Controlled Committee
❑ Primarily Forme! Ballot Measure
❑ Preelection Statement ❑ Ouadedy Statement
O State Candidate Election Committee
Committee
® Semi - annual Statement ❑ Special Odd -Year Report
O Recall
O Controlled
❑ Termination Statement
fAm ca nlda Par4
O Sponsored
(Also Ale a Form 410 Termination)
❑ Purpose Committed
(Nw Cm[Nb PmIN
❑Amendment (Explain below)
0 Sponsored O SpOnapretl
❑ Primarily Formed Candidate/
O Small Contributor Committee
Officeholder Committee
O Political Party /Central Committee
�'c0"PMa P`pa
3. Committee Information
Karen Goh for Mayor 2016
STREET ADDRESS (NO P.O. BOX)
co" STATE ZIPCODE AREACODEIPHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
ITY STATE ZIP CODE AREA ODET'HONE
Treasurers)
Shawn P. Kelly, CPA
MNLINGADORESS
CITY STATE ZIPCODE AREACOOEIPHONE
NAME OF ASSISTANT TREASURER. IF ANY
CITY STATE ZIP CODE AREACODEIPHONE
OPTION4: FAXIE- MALADDRESS OTIONAL: FAXIE- MVJLADORESS
4. Verification
1 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 perjury under the laws of the State of California that the foregoin and mrtad.
Executed on S ( By unrl r eynt
IO q 0 v re
Executed On / BY —r ^a awier
mbl pCa El M. Was Measure ORmrNIfimn
EYasoted On DN By alpwure Or COnhollry Olnm Mdv.CmtlEab, ebre Awaure Proponent
Executed on pate By IPMu e .1 Ocr,seek, Offleasrsar. Carm.. , rare Measure P.sew.
FPPC Form 469 (Jan /2936)
FPPC Advice: advice @fppc.ca.gov (866/275 -3772)
wwwdplec.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
6. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Karen Goh
OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE)
Mayor
RESIDENTIAIiBUSINESS ADDRESS (NO.ANDSTREET) CITY STATE ZIP
Related Committees Not Included in this Statement: Listanycommllrees
not included In this satement that am con"Hed by you or am primadly formed to receive
conbrbutions or make aspen lifinea on behalf of your candidacy.
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTmOLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEEAOORESS STREET ADDRESS (NO P.O. BOX)
CRY STATE ZIP CODE AREACODFIPHONE
COMMITTEE NAME I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
I] YES ❑ NO
COMMITTEEAOORESS STREET ADDRESS (NO PO. BOX)
CITY STATE ZIP CODE AREACODEIPHONE
Page 2 of 6
6. Primarily Formed Ballot Measure Committee
BALLOT NO. OR LETTER JURISOICTION
❑ SUPPORT
❑ OPPOSE
Worthy the controlling officeholder, candidate, or state measure proponent, if arty.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD I DISTRICT NO. IF ANY
7. Primarily Formed Candidate /Officeholder Committee Listnames of
olece6oldarr.) or candidate(.) for which MI. commlbae 1. pdmadly formal.
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
Aeach congnuaeon sheers ((necessary
FPPC Form 460(Jon/2036)
FPPC Advice: adviceUefplac.a.gov (866/275 -3772)
vlww.fPPC.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
W hole dollars.
Summary Page Statement covers period - zp,,j IM,
I - 1/1/17
through 6130/17
Karen Goh for Mayor 2016
Contributions Received
TCT M Column loe A mn
P
1,339.10
Column B
6. Payments Made .........................................
SaIecoal E bral 4
(FROM ATTACHED �XU!ro
$
TCTNTO OAIE
1. Monetary Contributions.. ............................................
Schedule A. bra, 3
$ 200.00
$
200.00
2. Loans Received .................................... .................
solnxkI. B, Lme 3
1,000.00
$
4,715.00
9. Accrued Expenses (Unpaid Bills) ......................
Sahsoule F Uns, 3
1,200.00
4,671500
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Addunea l +2
$
0.00
4. Nommonetary Contributions ....................................
schaaae c. Una a
1,750.00
$
1,750.00
5. TOTAL CONTRIBUTIONS RECEIVED ............
..... .......... Add braa 3. 4
$ 2,950.00
6,665.00
Expenditures Made
12. Beginning Cash Balance ............................ Pmn*xosumo&,Paer Ure 16 $
1,339.10
13. Cash Receipts ............................ ............................... Cd..Aur.3.bol,a
6. Payments Made .........................................
SaIecoal E bral 4
$ 2,037.00
$
2,037.00
7. Loans Made ................................. --- -- ...................
Sdredule H. Una 3
0.00
If this is a termination statement, Una 16 must be zem
0.00
8. SUBTOTAL CASH PAYMENTS ..........................................
AM Uras 6 . 7
S 2,037.00
$
2,037.00
9. Accrued Expenses (Unpaid Bills) ......................
Sahsoule F Uns, 3
3,247.06
76,855.20
10, Nommonetary Adjustment
Samnaae c, anal 3
0.00
0.00
11. TOTAL EXPENDITURES MADE ......................
.................. A,ouns, 8.9 + 10
$ 5,284.06
$
78,892.20
_
tourrent L;asn statement
12. Beginning Cash Balance ............................ Pmn*xosumo&,Paer Ure 16 $
1,339.10
13. Cash Receipts ............................ ............................... Cd..Aur.3.bol,a
1,200.00
14. Miscellaneous Increases to Cash ......................... Soheolr. 1. Une 4
O.Go
15. Cash Payments .......................... ............................... cdumna, une eaoare
2,037.00
16. ENDING CASH BALANCE .. - ...Aod Lines 12 + 13.14, than sabs"d ins 15 $
502.10
If this is a termination statement, Una 16 must be zem
17. LOAN GUARANTEES RECEIVED ................................ Schs,A,lssPef2 $ 0.00
18, Cash Equivalents ................................................ ssainathuonme... $ 0.00
19. Outstanding Debts .............................. AWUne2+Ure9ftColumr8abom $ 81,570.20
I. calculate Column B,
add amounts in Column
A to Me corresponding
amounts from Column B
ofyourlastreport. Some
amounts in Column A may
be negative figures that
should be subtracted from
previous period amounts. If
this is the first report being
filed for this calendar year,
only oarry over the amounts
from Lines 2, 7, and 91d
any).
page 3 Of 8
1 1384218
Calendar Year Summary for Candidates
Running In Both the State Primary and
General Elections
Ill through W30 7/1 to Drds
20. Contributions
Received $
21. Expenditures
Made $ $
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made'
(IF SOLI ..., ex,duuIv umm
Date of Election Total to Date
(mmlddtyy)
1 1 $
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460 (Jan/2016)
FPPC Advice: adalcerlinflopc.a.goar (866/275-3772)
.fppc...g.a
Schedule A Amounta my be Founded SCHEDULE A
co tanoie oonars.
Monetary Contributions Received
Statement covers period
1/1/17
from
• 1
6/30/17
8
SEE INSTRUCTIONS ON REVERSE
through
7Y�RTO
NAME OF FILER
Karen Goh for Mayor 2016
DATE
FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR
COWRIBUTOR
FAN INDIVIDUAL, EWER
AMOUNT
CUMULATECTION
RECEIVED
IIFCeMMnT¢. use rvrrR CO. rvuaerR)
CODE•
OCCUPATIONAND EMPLOYER
RECEIVED THIS
CALENATE
IF SELF or9ue NE�EP rvu.IE
PERIOD
(JAN, 1 -DEG 31)
(IF REQUIRED)
01ND
1/27/17
Gayle Betsy
[ICON
Retired
200.00
200.00
[I PTY
CSCC
[I IND
❑CON
❑ OTH
Cl PTY
[ISCC
[I IND
❑CON
❑ OTH
❑PTV
CSCC
[I IND
[-]CON
Cl OTH
0 PTY
❑SCC
[I IND
[ICOM
[I OTH
❑PTY
[I SCC
SUBTOTALS 200.00
-
Schedule A Summary
- Contributor Codes
1. Amount received this period — itemized monetary contributions.
IND- mdimdual
(Include all Schedule A subtotals.) ........................................................................... ..............................$ 200.00
COM- Recipient Committee
(other than PTY or SCC)
2. Amount received this period — unitemized monetary contributions of less than $ 100 ...........................$ 0.00
OTH - Omer (c , business entity)
PTY - Political Party
3. Total monetary contributions received this period.
SCC - Small Contributor committee
Add Lines i and 2. i=nter Mere and on the Summa Page, Column A, Line 1.
ry 9 ...................... FPPC Form 460 (Jan /2016)
FPPC Advice: advice@fppc.w.gov (866/275-3772)
w fppc.ca.gov
SCHEDULE B - PART 1
Schedule B — Part 1 - "towhol' he Mars. - --
to whole dollars. Statement coven period 7�L=�TOU"'��T'VE Loans Received 1/1/17 from SEE INSTRUCTIONS ON REVERSE th rough 6 /30/17 8 NAME OF FILER Karen Goh for Mayor 2016 NLLNAME. STREETAWRESS AND LP CODE IFAN INDIVIDUAL, ENTER OUTSTANDING AMOUNT pl OUTSTANDING INTEREST MULATIVE OCCUPATIONAND EMPLOYER AMOUNT PAID OF LENDER BALANCE RECEIVEDTHIS &1LANCE AT P{COMMINTR sO ENTER LD NUMEEm EF SELFEMPLOYED ENDER BEGINNINGTHIS OR FORGIVEN CLOSE OF THIS PAID THIS RIDATIONS aE.UaN. PERIOD PERIOD THIS PERIOD' PERIOD PERIOD TODATE
PAID CALENDARYFAR
Karen Goh Mayor
City of Bakersfield 3 0.00 3 4.715.00 100 % 3 3715.00 3
❑ FORGIVEN RATE PER ELECTION"
{ 3,715.00 3 1,000.00 3 0.00 { 0.00 8/11/16 {
1m IND ❑ DOM ❑ OTH 0 PTY ❑ SCC DATE DUE DATE INCURRED
❑ PAID CALENDAR YFAR
% 3
C1 FORGIVEN RurE PER ELECTION°
1 E 3 3 DATE DUE $ PATE INCURRED {
❑ IND ❑ COM ❑ 0TH ❑PTT ❑SCC
O PAID CALENDAAYcAR
5 % $
❑FORGIVEN RATE PER ELECTION"
T 3 5 3 PATE pUE 3 PATE INCURRED 3
❑ IND ❑ COM ❑ OTH ❑PTY ❑ SLL
Ya =:
SUBTOTALS $ 1,000.00$ 0.00 $ 4,715.00 $ 0.00 h.
y '! '; r' P :
Schedule B Summary sre a..E IPA. >I
1. Loans received this penod ...................................................................................... ..............................$ —1.-"' --Orin nn
(Total Column (b) plus unitemized loans of less than $100.) tContnbutor codes
2. Loans paid or forgiven this period ........ ............................... ................... ..............................$ n nn IND — Individual
(Total Column (c) plus loans under that (other than PTY or SCC)
COM — Recipient Committee
paid or forgiven.)
(include loans paid by a third party that are also itemized on Schedule A.) OTH —Other (e.g., business entity)
PTY — Political Party
3. Net change this period. (Subtract Line 2 from Line 1.) ............................... ............................... NET $ 1 nnn on SCC — Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. wn.....{.IN..M.,wn
'Amounts forgiven or paitl by enoNer party also must be reportetl on SChetlule A. FPPC Form 460 (lan/2026)
"If required. FPPC Advice: advicellbfppc.a.8ov(866 /275 -3771)
www.fppc.ca.8ov
Schedule B Summary sre a..E IPA. >I
1. Loans received this penod ...................................................................................... ..............................$ —1.-"' --Orin nn
(Total Column (b) plus unitemized loans of less than $100.) tContnbutor codes
2. Loans paid or forgiven this period ........ ............................... ................... ..............................$ n nn IND — Individual
(Total Column (c) plus loans under that (other than PTY or SCC)
COM — Recipient Committee
paid or forgiven.)
(include loans paid by a third party that are also itemized on Schedule A.) OTH —Other (e.g., business entity)
PTY — Political Party
3. Net change this period. (Subtract Line 2 from Line 1.) ............................... ............................... NET $ 1 nnn on SCC — Small Contributor Committee
Enter the net here and on the Summary Page, Column A, Line 2. wn.....{.IN..M.,wn
'Amounts forgiven or paitl by enoNer party also must be reportetl on SChetlule A. FPPC Form 460 (lan/2026)
"If required. FPPC Advice: advicellbfppc.a.8ov(866 /275 -3771)
www.fppc.ca.8ov
www.fppc.ca.8ov
Schedule C Amounts may W rounded SCHEDULEC
Nonmonetary Contributions Received to - holedoar.
SaNmenlooverepeNOd
'Co rshutor Codes
1. Amount received this period- itemized nonmonetary contributions.
(Include all Schedule C subtotals.) ........................................................................................ ..............................$
1/1/17
IND - Individual
COM- Recipient Committee
2. Amount received this period - unitemized nonmonetary contributions of less than $100 .... ..............................$
SEE INSTRUCTIONS ON REVERSE
through 6/30/17
1!1
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .....................TOTAL
$
Karen Goh for Mayor 2016
OATS
FULL NAME.
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
DESCRIPTION OF
AMOUNTI
CUMULATIVE TO
DATE
PER ELECTION
RECEIVED
ZIP CODE OFOONERIBUTOR
OF CONTRIBUTOR TRIBUT R
CODE•
OCCUPATIONAN..EWE EMPLOYER
OF
GOODS OR SERVICES
FAIR VALUE MARKET
VALUE
CALENDAR
TO DATE
DFwxxiirteuso EWER ID, NLMeEaI
NUIa oFausirvasslrEn
FvAEMRDYIDEso
(JAN
(JAN 1- DEC OEC 31)
I- 31)
(IF REQUIRED)
D IND
Chefs Choice Noodle Bar
DOOM
N/A
Catering
9
1/3/17
OTH
1,750.00
1,750.00
❑ PTY
O
D SCC
D IND
OCOM
D OTH
❑PTV
D SCC
D IND
D COM
D OTH
D PTY
D SCC
D IND
D COM
D OTH
D PTY
D SCC
Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 1,750.00
Schedule C Summary
'Co rshutor Codes
1. Amount received this period- itemized nonmonetary contributions.
(Include all Schedule C subtotals.) ........................................................................................ ..............................$
1,750.00
IND - Individual
COM- Recipient Committee
2. Amount received this period - unitemized nonmonetary contributions of less than $100 .... ..............................$
0.00
(other than PTY or SCC)
OTH -Other (e.g., business entity)
3. Total nonmonetary contributions received this period.
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.) .....................TOTAL
$
1,750.00
PTY - Political Parry
SCC -Small Contributor committee
FPPC Form 060 (Jan /2016)
FPPC Advice: advice @ fppc.ca.8ov(866 /275 -3772)
vrww.fpFC.u.BOv
Schedule Amounts may be rounded statement covers)
Payments Made to whole dollars. 1/1/17
from
Karen GOT for Mayor 2016
6/30/17 I page 7 of 8
1384218
CODES: If one of the following codes accurately describes the payment, you may enter the code.
Otherwise, describe the payment.
CMP
campaign paraphemalia/mise.
MBR
member communications
PAD
radio airtime and production casts
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)'
OFC
office expenses
SAL
campaign workers' salaries
CVC
Poo donations
PET
petition circulating
TEL
t.v. or cable airtime and production mats
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundrelsing evenls
POL
polling and survey remarrA
TRS
staff /spouse travel, lodging, and meals
IND
independent exp rkiture supporiinglopposing others (explain)'
POS
postage, delivery and messenger ser4ces
TSF
transfer between committees of the same candidate /sponsor
LEG
legal defense
PRO
professional sernces(legal, accounting)
VOT
voter registration
LIT
campaign literzNre and mailings
PRT
print ads
WEB
information technology Posts fintemet. e-mail)
NAMEAND ADDRESS OF PAYEE
OF CCaamaa.aso EmEN I D. wvaEm
CODE OR DESCRIPTION OF PAYMENT
AMOUNT PAID
Chefs Choice Noodle Bar
............ $
Catering for Swearing in Reception
TOTAL $
1,837.00
Daniel Lopez
Entertainment for Swearing in Reception
200.00
' Payments that are contributions or Independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 2,037.00
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.)
............ $
2,037.00
............ $
0.00
............ $
0.00
TOTAL $
2.037.00
FPPC Form 460 (tan /2016)
FPPC Advice: advice @fppc.o.gov(866 /275 -3772)
www.fppc.o.gov
SCHEDULE
Schedule F Amounts may be rounded
to whole dollars. Statement covers period • 2 a 1
Accrued Expenses (Unpaid Bills) from 1/1/17
through 6/30/17 page 8 of 8
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER
I.p. 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.
CMP
campaign parephemalla/mise.
MBR
member communications
PAD
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'salades
CVC
aviedonations
PET
petition circulating
TEL
t.v or cable airtime and production costs
FIL
candidate filinpallot fees
RHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
ROL
polling and survey research
TRS
staff /spouse travel, lodging, and meals
IND
independent expenditure supporting /opposing others ("plaint'
ROB
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
informafion technology costs(internet, e-mail)
-Prymema mW are mno... or iMependem e"Rdksim mud Wm be SUBTOTALS $ $ $ Q.00
mmstead on schedule D. 73,608.14 3,247.06 $ 76,855.20
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 $ 3,247.06
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 untemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS $ 0.00
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) .................................................................................................................................................... ............................... NET $ 3,247.06
M.r e.. nnmr n„mmr
FPPC Form 460 (tan /2016)
FPPC Advice: adWce@fppc.ca.gov(866 /275 -3772)
www.fppc.ce.gov
4)
(b)
to)
(d)
NAMEAND ADDRESS OF CREDITOR
CODE OR
OUTSTANDING
AMOUNTINOURRED
AMOUNT PAID
OUTSTANDING
aR CcUl TEE&W raven in. NUMBwI
pEBGRIPTION OF PAYMEM
BALANCE BEGINNING
THIS PERIOD
THIS PERIOD
BAIANCEATCLOSE
OF THIS PERIOD
(use RBapmpNet
OF THIS PERIOD
Wren Kelly CPAs, LLP
PRO
890.00
490.00
0.00
1,380.00
Western Pack Research
Interest
72 718.14
2,757.06
0.00
75,475.20
-Prymema mW are mno... or iMependem e"Rdksim mud Wm be SUBTOTALS $ $ $ Q.00
mmstead on schedule D. 73,608.14 3,247.06 $ 76,855.20
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 $ 3,247.06
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 untemized payments on accrued expenses under $ 100.) .... ............................... PAID TOTALS $ 0.00
3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and
onthe Summary Page, Column A, Line 9.) .................................................................................................................................................... ............................... NET $ 3,247.06
M.r e.. nnmr n„mmr
FPPC Form 460 (tan /2016)
FPPC Advice: adWce@fppc.ca.gov(866 /275 -3772)
www.fppc.ce.gov