HomeMy WebLinkAboutGOH SEMIANN20 (3)Recipient Committee
Campaign Statement
Cover Page
SEE INSTRUCTIONS ON REVERSE
Statement covers period
from 07/01/2020
through 12/31/2020
1. Type of Recipient Committee: All Committees—Complete Parts 1, 2, 3, and 4.
m Officeholder, Candidate Controlled Committee ❑ Primarily. Formed Ballot Measure
0 State Candidate Election Committee Committee
0 Recall 0 Controlled
(Also Complete Part 5) 0 Sponsored
(Also Complete Part 6)
❑ General Purpose Committee
0 Sponsored
0 Small Contributor Committee
0 Political Party/Central Committee
3. Committee Information
NAME IF NO COMM
Karen Goh for Mayor 2020
❑ Primarily Formed Candidate/
Officeholder Committee
(Also Complete Part n
I.D. NUMBER
1423226
STREETADDRESS (NO P.O. BOX)
CITY
STATE
ZIP CODE
AREACODE/PHONE
MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX
CITY
STATE
ZIP CODE
AREA CODE/PHONE
OPTIONAL: FAX/ E-MAIL ADDRESS
4. Verification
Date Stamp
Date of election if applicable: •21 JAIN 26 All
(Month, Day, Year)
/A A E, f i t !-%.D C
2. Type of Statement: -
❑ Preelection Statement
l� Semi-annual Statement
❑ Termination Statement
(Also file a Form 410 Termination)
❑ Amendment (Explain below)
COVER PAGE
�;ALR-IIWAIAI •' 1
.-
�a 1 of 5
or Official Use Only
f�
<
❑ Quarterly Statement
❑ Special Odd -Year Report
Treasurer(s)
NAME OF TREASURER
Shawn P. Kelly, CPA
MAI LI N G AD D RESS
CITY STATE ZIP CODE AREA CODE/PHONE
NAME OF ASSISTANT TREASURER, IF ANY
MAILING ADDRESS
CITY STATE ZIP CODE AREA CODE/PHONE
OPTIONAL: FAX/E-MAIL ADDRESS
I have used all reasonable diligence in preparing and reviewing this statement and to the best of my knowledge the information contained herein and in the attached schedules is true and complete. I
certify under penalty of perjury under the laws of the State of California that the foregoing due and correckl . / . /►
Executed on 01/05/2021
ate
126
Executed o oo?'
Date
Executed on
Date
Executed on
Date
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
By
Signature of Controlling Officeholder, Candidate, State Measure Proponent
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Recipient Committee
Campaign Statement
Cover Page — Part 2
5. Officeholder or Candidate Controlled Committee
NAME OF OFFICEHOLDER OR CANDIDATE
Karen Goh
OFFICE.SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IFAPPLICABLE)
Mayor, City of Bakersfield
RESIDENTIAL/BUSINESS ADDRESS (NO. AND STREET) CITY STATE ZIP
Related Committees Not Included in this Statement: List any committees
not included in this statement that are controlled by you or are primarily formed to receive
contributions or make expenditures on behalf of your candidacy.
E NAME
I.D. NUMBER
NAME OF TREASURER CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COMMITTEE NAME
I.D. NUMBER
NAME OF TREASURERI CONTROLLED COMMITTEE?
❑ YES ❑ NO
COMMITTEE ADDRESS STREET ADDRESS (NO P.O. BOX)
CITY STATE ZIP CODE AREA CODE/PHONE
COVER PAGE - PART 2
Page 2 of 5
6. Primarily Formed Ballot Measure Committee
NAME OF BALLOT MEASURE
BALLOT NO. OR LETTER JURISDICTION
❑ SUPPORT
❑ OPPOSE
Identify the controlling officeholder, candidate, or state measure proponent, if any.
NAME OF OFFICEHOLDER, CANDIDATE, OR PROPONENT
OFFICE SOUGHT OR HELD DISTRICT NO. IF ANY
7. Primarily Formed Candidate/Officeholder Committee List names of
officeholder(s) or candidate(s) for which this committee is primarily formed.
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
NAME OF OFFICEHOLDER OR CANDIDATE
OFFICE SOUGHT OR HELD
❑ SUPPORT
❑ OPPOSE
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
Summary Pae to whole dollars. Statement covers period
Page CALIFORNIA
from 07/01/2020 FORM •
SEE INSTRUCTIONS ON REVERSE
through 12/31/2020 Page 3 of 5
NAME OF FILER
6. Payments Made............................................................... schedule E, Line 4
I.D. NUMBER
Karen Goh for Mayor 2020
$ 71,488.23
7. Loans Made....................................................................... Schedule H, Line 3
1423226
Contributions Received
$
Column A
Column B
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3
Calendar Year Summary for Candidates
TOTAL THIS PERIOD
(FROM ATTACHED SCHEDULES)
CALENDARYEAR
TOTAL TO DATE
Running in Both the State Primary and
11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10
$
1,413.00
$ 71,488.23
Current Cash Statement
General Elections
1.. Monetary Contributions....:..............................................
ISchedule A, Line 3
$ 5000.00
$ 90,500.00
31,071.77
2. Loans Received................................................................
Schedule B, Line 3
5,000.00
To calculate Column B,
add amounts in Column
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
1/1 through 6/30 7/1 to Date
3. SUBTOTAL CASH CONTRIBUTIONS ..............................
Add Lines 1 +2
5000.00
$
$ 90,500.00
1,413.00
20. Contributions
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$
34 658.77
amounts in Column A may
be negative figures that
if this is a termination statement Line 16 must be zero.
Received $ $
4. Nonmonetary Contributions ............................................
Schedule C, Line 3
0.00
1,750.00
21. Expenditures
5. TOTAL CONTRIBUTIONS RECEIVED................................Add
Lines 3+4
$ 5000.00
$ 92,250.00
filed for this calendar year,
Made $ $
Expenditures Made
6. Payments Made............................................................... schedule E, Line 4
$
1,413.00
$ 71,488.23
7. Loans Made....................................................................... Schedule H, Line 3
8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7
$
1,413.00
$ 71,488.23
9. Accrued Expenses (Unpaid Bills) .......................................... Schedule F Line 3
10. Nonmonetary Adjustment......................................................... Schedule C, Line 3
11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10
$
1,413.00
$ 71,488.23
Current Cash Statement
12. Beginning Cash Balance ............................ Previous summary Page, Line 16
$
31,071.77
13. Cash Receipts........................................................... Column A, Line 3 above
5,000.00
To calculate Column B,
add amounts in Column
14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4
A to the corresponding
amounts from Column B
15. Cash Payments......................................................... Column A, Line 8 above
1,413.00
of your last report. Some
16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15
$
34 658.77
amounts in Column A may
be negative figures that
if this is a termination statement Line 16 must be zero.
should be subtracted from
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
from Lines 2, 7, and 9 (if
Cash Equivalents and Outstanding Debts
18. Cash Equivalents ................................................ See Instructions on reverse
$
0.00
any).
19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above
$
0.00
Expenditure Limit Summary for State
Candidates
22. Cumulative Expenditures Made"
(if Subject to Voluntary Expenditure Limit)
Date of Election Total to Date
(mm/dd/yy)
'Amounts in this section may be different from amounts
reported in Column B.
FPPC Form 460.(Jan/2016))
FPPC Advice: advice@fppd.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule A Amounts may be rounded SCHEDULE A
Monetary Contributions Received W
Statement covers period
from 07/01/2020
CALIFORNIA
FORM 1
SEE INSTRUCTIONS ON REVERSE
through 12/31/2020
Page 4 of 5
NAME OF FILER
I.D. NUMBER
Karen Goh for Mayor 2020
1423226
DATE
FULL NAME, STREET ADDRESS AND ZIP CODE OF
CONTRIBUTOR
IF AN INDIVIDUAL, ENTER
AMOUNT
CUMULATIVE TO DATE
PER ELECTION
RECEIVED
CONTRIBUTOR
CODE *
OCCUPATION AND EMPLOYER
(IF SELF-EMPLOYED, ENTER NAME
RECEIVED THIS
CALENDAR YEAR
TO DATE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
OF BUSINESS)
PERIOD
(JAN. 1 - DEC. 31)
(IF REQUIRED)
07/30/2020
Frederic and Susan Rowe
IND
Physician
2,500.00
❑ PTY
❑ SCC
11/20/2020
Valley Family Clinic
❑ IND
N/A
2,500.00
Clinica Del Valle
❑ COM
Z OTH
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
❑ IND
❑ COM
❑ OTH
❑ PTY
❑ SCC
SUBTOTAL $ 5,000.00
Schedule A Summary
Amount received this period — itemized monetary contributions.
(Include all Schedule A subtotals.)...............................................................................
5,000.00
........................ $
2. Amount received this period — unitemlzed monetary contributions of less than $100 ...........................$ 0.00
3. Total monetary contributions received this period. 5,000.00
(Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)......................TOTAL $
`Contributor Codes
IND — Individual
COM — Recipient Committee
(other than PTY or SCC)
OTH — Other (e.g., business entity)
PTY — Political Party
SCC — Small Contributor Committee
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov
Schedule E
Payments Made
Amounts may be rounded SCHEDULE E
to whole dollars. Statement covers period a
from 07/01/2020
SEE INSTRUCTIONS ON REVERSE
through 12/31/2020 Page 5 of 5
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 paraphernalia/misc.
MBR
member communications
RAD
radio airtime and production costs
CNS
campaign consultants
MTG
meetings and appearances
RFD
returned contributions
CTB
contribution (explain nonmonetary)*
OFC
office expenses
SAL
campaign workers' salaries
CVC
civic donations
PET
petition circulating
TEL
t.v. or cable airtime and production costs
FIL
candidate filing/ballot fees
PHO
phone banks
TRC
candidate travel, lodging, and meals
FND
fundraising events
POL
polling and survey research
TRS
staff/spouse travel, lodging, and meals
IND
independent expenditure supporting/opposing others (explain)*
POS
postage, delivery and messenger services
TSF
transfer between committees of the same candidate/sponsor
LEG
legal defense
PRO
professional services (legal, accounting)
VOT
voter registration
LIT
campaign literature and mailings
PRT
print ads
WEB
information technology costs (internet, e-mail)
NAME AND ADDRESS OF PAYEE
(IF COMMITTEE, ALSO ENTER I.D. NUMBER)
CODE OR DESCRIPTION OF PAYMENT
AMOUNTPAID
Sheffield for Rosedale School Board
CTB
500.00
Wren Kelly CPA's
PRO
863.00
"_Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $
Schedule E Summary
1. Itemized payments made this period. (Include all Schedule E subtotals.)............................................................................................................. $ 1,363.00
2. Unitemized payments made this period of under $100...........................................................................................................
.............................. $ 50.00
3. Total interest paid this period on loans. (Enter amount from Schedule B, Part 1, Column(e).)...............................:............................................. $ 0.00
4. Total payments made this period. (Add Lines 1, 2, and 3. Enter here and on the Summary Page, Column A, Line 6.) ........................... TOTAL $ 1,413.00
FPPC Form 460 (Jan/2016))
FPPC Advice: advice@fppc.ca.gov (866/275-3772)
www.fppc.ca.gov