HomeMy WebLinkAboutGOH PREELECT20(1) CITY OF St Kti� SFIELD
COVER PAGE
Recipient Committee JAN-23 2020 Date Stamp
'Campaign Statement
Cover Page CITY CLERKS OFFICE
Statement covers period Date of election if applicable: Page 1 of 8
from
1/112020 (Month,Day,Year) For Official Use Only
SEE INSTRUCTIONS ON REVERSEthrough 1118/2020
1. Type of Recipient Committee: All committees-complete Parts 1,2,3,and 4. 2. Type of Statement:
3?/Officeholder,Candidate Controlled Committee ❑ Primarily Formed Ballot Measure M Preelection Statement ❑ Quarterly Statement
O State Candidate Election Committee Committee ❑ Semi-annual Statement ❑ Special Odd-Year Report
O Recall O Controlled ❑ Termination Statement
(mo comrwePxt 61 0 Sponsored (Also file a Form 410 Termination)
(A5a Cor,#ed,Part it
F1General Purpose Committee ❑ Amendment(Explain below)
• Sponsored ❑ Primarily Formed Candidate/
• Small Contributor Committee Officeholder Committee
• Political Party/Central Committee (also CoMgae Pal 7)
3. Committee Information I.D.NUMBER Treasurer(s)
1423226
COMMITTEE NAME(OR CANDIDATE'S NAME IF NO COMMITTEE) NAME OF TREASURER
Karen Goh for Mayor 2020 Shawn P. Kelly
MAILING ADDRESS
STREET ADDRESS(NO P.O.BOX) CITY STATE ZIP CODE AREA CODEIPHONE
CITY STATE ZIP CODE AREACODE/PHONE NAME OFASSISTANT TREASURER,IF ANY
MAILING ADDRESS(IF DIFFERENT)NO.AND STREET OR P.O.BOX MAILING ADDRESS
CITY STATE ZIP CODE AREA CODEIPHONE CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAILADDRESS OPTIONAL: FAX/E-MAIL ADDRESS
661-325-3427(fax) skelly@wrenkelly.com
4. Verification
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the informa'on 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 I e and corre
Executed on 2z N2o By ~
-� Date Siof Tr r or Assistant Treasurer
Executed on j/23/f D BY
Date at bnre of Controliing o rieohol r, nd d o,State Measure Proponent or Responsible Officor of Sponsor
Executed on Date By Signnlure of Controlling Officeholder,Candidate,State Measure Proponent
Executed on BY
Date � Signature of Controlling Officeholder.Candidate,State Measure Proponent
FPPC Form 460(!an/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
COVER PAGE-PART 2
t
Recipient Committee CALIFOR ,
Campaign Statement •
Cover Page — Part 2
Page 2 of $
5. Officeholder or Candidate Controlled Committee 6. Primarily Formed Ballot Measure Committee
NAME OF OFFICEHOLDER OR CANDIDATE NAME OF BALLOT MEASURE
Karen Goh
OFFICE SOUGHT OR HELD(INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) BALLOT NO.OR LETTER JURISDICTION ❑SUPPORT
El OPPOSE
Mayor,City of Bakersfield
RESIDENTIALIBUSINESS ADDRESS (NO.ANO STREET) CITY STATE ZIP
Identify the controlling officeholder,candidate,or state measure proponent,if any.
NAME OF OFFICEHOLDER.CANDIDATE,OR PROPONENT
Related Committees Not Included in this Statement: List any committees
not Included in this statement that are controlled by you orare primarily formed to receive OFFICE SOUGHT.OR HELD DISTRICT NO:IF ANY
contributions or make expenditures on behalf of your candidacy.
COMMITTEE NAME I.D.NUMBER
CONTROLLEDCOMAdITTEE? 7. Primarily Formed Candidate/Officeholder Committee Listnamesof
NAME OF TREASURER officeholder(s)or candidate(s)for which this committee is primarily formed.
[:1 YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX) NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
CITY STATE ZIP CODE AREA CODE/PHONE NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑SUPPORT
❑OPPOSE
COMMITTEE NAME I.D.NUMBER
NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑ SUPPORT
❑OPPOSE
NAME OF TREASURER CONTROLLED COMMITTEE? NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD
❑YES ❑ NO ❑SUPPORT
❑ OPPOSE
COMMITTEE ADDRESS STREET ADDRESS (NO P.O.BOX)
CITY STATE ZIP CODE AREA CODE/PHONE Attach continuation sheets if necessary
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Campaign Disclosure Statement Amounts may be rounded SUMMARY PAGE
to whole dollars. Statement covers period -
Summary Page 1/1/2020 ®- ` e
from
through 1/18/2020 page 3 of 8
SEE INSTRUCTIONS ON REVERSE
NAME OFF FILER I.D.NUMBER
Karen Goh for Mayor 2020 1423226
,Column A Column B Calendar Year Summary for Candidates
Contributions Received TOTALTHIS PERIOD CALENDAR YEAR
(FROM ATTACHED SCHEDULES) TOTAL TO DATE Running in Both the State Primary and
23,250.00 23,250.00 General Elections
1. Monetary Contributions................................................... Schedule A,Line 3 $ 0.00 $ 0.00 111 through 6130 711 to Date
2. Loans Received................................................................ schedule B,Line 3
23,250.00 23,250.00 20. Contributions
3. SUBTOTAL CASH CONTRIBUTIONS.............................. Add Lines 1+2 $ $ Received $_ S
0.00 0.00
4. Nonmonetary Contributions............................................ schedule C.Line 3 21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED...................... 23,250.00 23,250.00 Made $
.............Add Lines 3+4 $ $
Expenditures Made Expenditure Limit Summary for State
6. Payments Made............................................................... Schedule E.Line S 2,482.12 S 2.482.12 Candidates
.
7. Loans Made....................-......... ......................... Schedule H,Line 3 0.00 0.00
248212 2,4$2,12 22. Cumulative Expenditures Made*
8. SUBTOTAL CASH PAYMENTS..... , .
..................................... Add Lines $ 5 (if Subject to Voluntary Expenditure Limit)
9. Accrued Expenses(Unpaid Bills)..........................................Schedule F,Line 3 0.00 0.00 Date of Election Total to Date
10.Nonmonetary Adjustment............................:............................Schedule c,Line 3 0.00 0.00 (mmiddlyy)
11.TOTAL EXPENDITURES MADE........................................Add Lines 8+9+10 S 2,482.12 S 2,482.12
Current Cash Statement $
12.Beginning Cash Balance............................ Previous Summary Page,Line 16 $ 15,647.00
To calculate Column 8,
13.Cash Receipts........................................................... column A.Lin_3 above
23,250.00 add amounts in Column
0.00 A to the corresponding Amounts in this section may be different from amounts
14.Miscellaneous Increases to Cash....................:............. Schedule 1,Line 4 amounts from Column B reported in Column B.
report. Some
15.Cash Payments................. .................................... Column A,Line a above 2'482.12 of your la t Column A may
16.ENDING CASH BALANCE ..................Add Lines 12+13+14,then subtract Line 15 $ 36,414.88 be negative figures that
should be subtracted from
If this is a termination statement,Line 16 must be zero. previous period amounts. if
this is the first report being
17.LOAN GUARANTEES RECEIVED......................""""'. Schedule B,Part 2 $ 0.00 filed for this calendar year,
only carry over the amounts
Cash Equivalents and Outstanding Debts aany)Lines 2,7,and s(if
....................
18. Cash Equivalents................. .......... See instructions on reverse S 0.00
.
19. Outstanding Debts.................... ... Add Line 2+Line 9 in Column B above S 0.00 FPPC Form 460(1an/2016)
FPPC Advice:advice@fppc.ca.gov(8661275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
covers period
to whole dollars. Statement
Monetary Contributions Received 1/1/2020 .�r � •
from
SEE INSTRUCTIONS ON REVERSE
through 1/18/2020 Page 4 of 8
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 AMOUNT CUMULATIVE TO DATE PER ELECTION
OF COMMITTEE,ALSO ENTER I.D.NUMBER) OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
RECEIVED CODE
OF SELF-EMPLOYED.ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS) ..
Hadeet Ranghi ❑IND
1/17/20
❑PTY
❑SCC
[]IND
Nephrology Medical Group of Bakersfield ❑COM N/A
1/17/20
❑PTY
❑SCC
la IND
Barbara Grimm-Marshall 1:1 COM Owner
1/17/20
❑PTY
❑SCC
Sal and Cynthia Giumarra E]IND
1117/20 E]COM Attorney 2,500.00 2,500.00 2,500.00
❑PTY
❑SCC
Domenick and Edith Bianco ®IND
1/17/20
El OTH Anthony Vineyards, Inc.
❑PTY
❑SCC
SUBTOTAL$ 13,500.00
Schedule A Summary *Contributor Codes
1. Amount received this period-itemized monetary contributions. IND-Individual
(Include all Schedule A subtotals.)........................ $ 23,250.00 COM-Recipient Committee
.................................................................................
(other than PTY or SCC)
2. Amount received this period-unitemized monetary contributions of less than$100...........................$ 0.00 OTH—Other(e.g.,business entity)
PTY—Political Party
3. Total monetary contributions received this period. SCC-Small contributor committee
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.).................. TOTAL $ 23,250.00
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
Schedule A(Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period e.
from 1/1/2020
through 1/18/2020 Page 5 of $
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 AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED OF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED,ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
John and Ingrid Lake ®IND Investments
1/17/20
❑PTY Venture Group
❑SCC
Joan Dezember ®IND Retired
1/17/20
❑PTY
❑scC
Yadwinder and Rajvinder Kang ®IND Physician
1/17/20
❑PTY
❑SCC
Satbir Singh 0IND Event Planner
1/17/205017
❑PTY
❑scC
Bhajan and Rabinder Sandhu IND Store Owner
1/17/20
❑Fry
❑SCC
SUBTOTAL '
S 5,750.00
'Contributor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Political Party FPPC Form 460(Jan/2016)
SCC—Small Contributor Committee .
FPPC Advice:advice@fppcca.gov(866/2753772)
www.fppc.ca.gov
• -Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period
from 1/1/2020 FPage
through 1/18/2020 6 of 8
NAME OF FILER I.D.NUMBER
Karen Goh for Mayor 2020 1423226
DATE FULL NAME,STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IFAN INDIVIDUAL,ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION
* OCCUPATION
RECEIVED (IF COMMITTEE,ALSO ENTER I.D.NUMBER) CODE AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED,CENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Mandeep Wadhwa ®IND Store Owner
E]OTH
[_1 PTY
❑SCC
Manbir and Taran Singh ®IND Physician
1/17/20
❑OTH
❑PTY
❑SCC
Perrninder and Gamdur Gill Q]IND Farming 500.00
1/17/20
❑OTH
❑PTY
❑SCC
Mann Dhindsa [IND Trucking 500.00
1/17/20
El OTH
❑PTY
❑SCC
Bobby Brar ®IND Trucking 250.00
1/17/20
❑OTH
❑PTY
❑SCG
e. A:
SUBTOTAL$ 3,000 00 3
*Contributor Codes
IND—Individual
COM—Recipient Committee
.(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Political Party FPPC Form 460(Jan/2016)
SCC—Small Contributor Committee FPPC Advice:advice@fppc.ca.gov(866/275-3772)w
ww.fppc.ca.gov
• -Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE (CONT.)
Monetary Contributions Received to whole dollars. Statement covers period CALIFORN
from
1/1/2020 • -
through 1/18!2020 Page 7 of 8
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 AMOUNT CUMULATIVE TO DATE PER ELECTION
RECEIVED OF COMMITTEE S SENTER I.D.NUMBER) CODE* OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE
(IF SELF-EMPLOYED.ENTER NAME PERIOD (JAN.1-DEC.31) (IF REQUIRED)
OF BUSINESS)
Nazar Kooner ®IND Farmer
1/17120
❑PTY
❑SCC
Ranbir and Harjit Bhatti ®IND Businessman 500.00
1/17/20
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
❑IND
❑COM
❑OTH
❑PTY
❑SCC
y;
SUBTOTALS 1,000 00
'Contributor Codes
IND—Individual
COM—Recipient Committee
(other than PTY or SCC)
OTH—Other(e.g.,business entity)
PTY—Political Party FPPC Form 460(Jan/2016)
SCC—Small Contributor Committee FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov
SCHEDULE E
-Schedule E Amounts may be rounded Statement covers periodALIFQRNI
to whole dollars.
Payments Made from 1/1/2020 •-
through 1/18/2020 Page 8 of 8
SEE INSTRUCTIONS ON REVERSE
NAME OF FILER I.D.NUMBER
Karen Goh for Mayor 2020 1423226
CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment.
CMP campaign paraphemalialmise. 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 Lv,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 supportinglopposing 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(intemet,e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE,ALSO ENTER I.D.NUMBER) I CODE OR DESCRIPTION OF PAYMENT A1,40UNT PAID
Western Pacific Research
Western Pacific Research
—
Western Pacific Research
Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL$ 2,482.12
Schedule E Summary
2,482.12
1. Itemized payments made this period. (Include all Schedule E subtotals.).................................:...........................................................................$
0.00
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. (Add Lines 1,2, and 3. Enter here and on the Summary Page,Column A,Line 6.)...........................TOTAL $ 2,482.12
FPPC Form 460(Jan/2016)
FPPC Advice:advice@fppc.ca.gov(866/275-3772)
www.fppc.ca.gov