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HomeMy WebLinkAboutCOLLINS TIM 460 09/29/22Recipient Committee Caeh0aign Statement Cover Page SEE INSTRUCTIONS ON REVERSE Statement covers period I Date of election if applicable: from 7/1/2022 (Month, Day, Year) through 9/24/2022 1. Type of Recipient Committee: All Committees — Complete Parts 1, 2, 3, and 4. 0 Officeholder, Candidate Controlled Committee ❑ Primarily Formed Ballot Measure O State Candidate Election Committee Committee O Recall O Controlled (Also Complete Part5) O Sponsored (Also Complete Part 6) ❑ General Purpose Committee Q Sponsored ❑ Primarily Formed Candidate/ O Small Contributor Committee Officeholder Committee O Political Party/Central Committee (Also Complete Part7) 3. Committee Information I.D. NUMBER 1452877 COMMITTEE NAME (OR CANDIDATE'S NAME IF NO COMMITTEE) Tim Collins for City Council - #7 - 2022 . STREET ADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREACODE/PHONE MAILING ADDRESS (IF DIFFERENT) NO. AND STREET OR P.O. BOX C OPTIONAL: FAX / E-MAIL ADDRESS STATE ZIP CODE AREACODE/PHONE 4. Verification - - - - I have used.all reasonable diligence in preparing and reviewing this statement and to the certify under penalty of perjury under the laws of the State of California that the foregoing Executed on ~ By— Qpte Executed on -/ _2^Z"z- By Dale Sic Date Stamp COVER PAGE Page 1 of 22 SEP 29 PH 2: 5 0 For Official Use Only 11/8/2022 b, to (, f I 1 E %- U 'C' I i` 2. Type of Statement: © Preelection Statement ❑ ❑ Semi-annual Statement Termination Statement ❑ (Also file a Form 410 Termination) Amendment (Explain below) ❑ Quarterly Statement ❑ Special Odd -Year Report Treasurer(s) NAME OF TREASURER LADONNA DODGE MAILING ADDRESS CITY STATE ZIP CODE AREA CODE/PHONE NAME OF ASSISTANT TREASURER, IF ANY 11 MAILING ADDRESS CITY STATE ZIP CODE AREACODE/PHONE OPTIONAL: FAX/E-MAIL ADDRESS erect. and in the attached schedules is true and complete. I or Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent Executed on By Date Signature of Controlling Officeholder, Candidate, State Measure Proponent FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fooc.ca.eov A' wW Recipient Committee Campaign Statement Cover Page — Part 2 5. Officeholder or Candidate Controlled Committee NAME OF OFFICEHOLDER OR CANDIDATE OFFICE SOUGHT OR HELD (INCLUDE LOCATION AND DISTRICT NUMBER IF APPLICABLE) RESIDENTIAL/BUSINESS ADDRESS (NO.ANDSTREET) 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. COMMITTEE NAME I.D. NUMBER NAME OF TREASURER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COMMITTEE NAME I.D. NUMBER CONTROLLED COMMITTEE? ❑ YES ❑ NO COMMITTEE ADDRESS STREETADDRESS (NO P.O. BOX) CITY STATE ZIP CODE AREA CODE/PHONE COVER PAGE - PART 2 Page 2 of 22 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 to whole dollars. Summary Page Statement covers period from 7/1/2022 SUMMARY PAGE 9/24/2022 Page 3 of 22 SEE INSTRUCTIONS ON REVERSE through NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 Contributions Received Column A TOTAL THIS PERIOD Column B Calendar Year Summary for Candidates (FROM ATTACHED SCHEDULES) CALENDAR YEAR TOTAL TO DATE Running in Both the State Primary and General Elections 1. Monetary Contributions................................................... schedule A, Line 3 $ 42600.00 $ 42600.00 O 0 1/1 through 6/30 7/1 to Date 2. Loans Received................................................................ Schedule B, Line 3 3. SUBTOTAL CASH CONTRIBUTIONS .............................. Add Lines 1 +2 42600.00 $ 42600.00 $ 20. Contributions Received $ $ 4. Nonmonetary Contributions ............................................ Schedule C, Line 3 0 0 21. Expenditures 5. TOTALCONTRIBUTIONS RECEIVED...............................Add Lines 3+4 $ 42600.00 $ 42600.00 Made $ $ Expenditures Made 6. Payments Made................................................................ schedule e, Line 4 $ 2310.00 7. Loans Made....................................................................... Schedule H, Line 3 0 8. SUBTOTAL CASH PAYMENTS ....................................... Add Lines 6+7 $ 2310.00 9. Accrued (Unpaid Bill U Expenses n as p p �.......................................... Schedule F, Line 3 0 10. Nonmonetary Adjustment......................................................... schedule C, Line 3 0 11. TOTAL EXPENDITURES MADE....................................Add Lines 8+9+10 $ 2310.00 Current Cash Statement 12. Beginning Cash Balance ............................ Previous summary Page, Line 16 $ 0 13. Cash Receipts........................................................... column A, Line 3 above 42600.00 14. Miscellaneous Increases to Cash .................................. Schedule 1, Line 4 0 15. Cash Payments...................:::::...-......-................... Column A, Line 8 above 2310.00 16. ENDING CASH BALANCE ..................Add Lines 12 + 13 + 14, then subtract Line 15 $ 40290.00 If this is a termination statement, Line 16 must be zero. 17. LOAN GUARANTEES RECEIVED ................................ Schedule B, Part 2 $ 0 Cash Equivalents and Outstanding Debts 18. Cash Equivalents ................................................ See instructions on reverse 19. Outstanding Debts .............................. Add Line 2 + Line 9 in Column B above $ 0 $ 0 $ 2310.00 0 $ 2310.00 0 0 $ 2310.00 To calculate Column B, add amounts in Column A to the corresponding amounts from Column B of your last report. 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 carry over the amounts from Lines 2, 7, and 9 (if any). 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) 11 $ *Amounts in this section may be different from amounts reported in Column B. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule A Amounts may be rounded SCHEDULE A to wnoie aouars. Monetary Contributions ReceivedCALIFORNIA Statement covers period , 60 from 7/1/2022 - through 9/24/2022 Page 4 of 22 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/6/2022 Sally Panero - . ❑ IND retired 1000.00 1000.00 ❑ COM ❑I OTH ❑ PTY ❑ SCC 9/6/2022 Donald S. Greenfield Z IND RETIRED 200.00 200.00 ❑ COM ❑ OTH ❑ PTY ❑ SCC 9/6/2022 Craig Perry Z IND service master franchise 2000.00 2000.00 ❑ COM ❑ OTH owner, bakersfield ❑ PTY ❑ SCC 9/6/2022 Gabe Woodward 0 IND Woodward Diversified 1000.00 1000.00 ❑ COM ❑ OTH Capitol ❑ PTY ❑ SCC 9/7/2022 Billie Jo Medders ® IND RETIRED 100.00 100.00 ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTAL $ 4300.00 Schedule A Summary 1. Amount received this period — itemized monetary contributions. (Include all Schedule A subtotals.)........................................................................................ 2. Amount received this period — unitemized monetary contributions of less than $100 ........ 3. Total monetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Line 1.)................ $ 42550.00 $ 50.00 *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 TOTAL $ 42600.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fnnc.ca.eov Schedule A (Continuation Sheet) Amounts may be rounded SCHEDULE A (CONT.) Monetary Contributions Received to whole dollars. Statement covers period CALIFORNIA from 7/1/2022 .1 FORM through 9/24/2022 Page 5 of 22 NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 FULL NAME, STREET ADDRESS AND ZIP CODE OF IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION DATE CONTRIBUTOR CONTRIBUTOR * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME) OF BUSINESS) PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) 9/7/2022 Diane Lake ❑�/ IND RETIRED 5000.00 5000.00 ❑ COM ❑ OTH ❑ PTY ❑ SCC 9/7/2022 Kern Delta Co., LLC ❑ IND 1000.00 1000.00 ❑ COM ® OTH ❑ PTY ❑ SCC 9/7/2022 Haddad Dodge ❑ IND 1500.00 1500.00 ❑ COM Z OTH ❑ PTY ❑ SCC -9/7/2022 Donald Palla O IND FARMER 100.00 100.00 ❑ COM ❑ OTH ❑ PTY ❑ SCC 9/7/2022 St. Clair Realty ❑ IND 200.00 200.00 ❑ CoM Z OTH ❑ PTY - --El SCC SUBTOTAL $ 7800.00 *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 Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. 7/1 /2022FORM � 6 ' from 9/24/2022 6 22 through Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) . (IF REQUIRED) OF BUSINESS) Arlana St. Clair RETIRED 9/7/2022 ❑IND 2O0.00 200.00 ❑OTH ❑ PTY ❑ SCC Paul Harman R1IND Bigger & Harman, APC 9/7/2022 ❑❑CO 500.00 500.00 ❑ PTY ❑ SCC Dr. Matab Singh VIND PHYSICIAN 9/16/2022 ❑❑CO 5000.00 5000.00 ❑ PTY ❑ SCC Sharnjit Dhaliwal ®IND Dhaliwal Farms 9/16/2022 ❑❑CO 10000.00 10000.00 . ❑ PTY ❑ SCC Western Service Inc ❑IND 9/16/2022 EICO 500.00 500.00 JZ ❑ PTY - - - ❑ SCC SUBTOTAL$ 16200.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULEA (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period . to whole dollars. 7/1 /2022 from 9/24/2022 7 22 through Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IFCOMMITTEE,ALSENTERI.D.NUMBER) CODE* (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OFBUSINESS) Jason Badgley BIND Sierra Pacific Mortgage 09/06/2022 El COM loan officer 100.00 100.00 ❑OTH ❑ PTY ❑ SCC Weststar ❑ IND 09/16/2022 EICO 500.00 500.00 ❑ PTY ❑ SCC Don Kuhns V IND Executive Vice President 9/16/2022 ❑❑CO at Andreini & Company 100.00 100.00 ❑ PTY ❑ SCC Sun-Gro ❑IND 09/02/2022 ElCO 500.00 500.00 ❑ PTY ❑ SCC Girish Patel BIND physician 09/09/2022 10800 COM 1000.00 1000.00 ❑ PTY - - ❑ SCC SUBTOTAL$ 2200.00 '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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period ICALIFORNIA to whole dollars. 7/1 /2022 FORM t from 9/24/2022 8 22 through Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE DE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR, PER ELECTION TO DATE RECEIVEDCODE (IFCOMMITTEEALSO ENTER I.D.N , (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) J & M Equipment ❑IND 9/9/2022 12401 100.00 100.00 JM ❑ PTY ❑ SCC Lindsay Ashley VIND Centre for Neuro Skills 9/16/2022 7505 CFO 100.00 100.00 ❑ PTY ❑ SCC Buttonwillow Warehouse Co. ❑IND 09/16/2022 3430 1000.00 1000.00 ❑ PTY ❑ SCC Geoff King ®IND CPA l 09/13/2022 PO Box 250.00 250.00 ❑ PTY ❑ SCC Katie Verhoef ®IND AC Foods 09/18/2022 19244 Clarisse Food Safety Manager 250.00 250.00 ❑ PTY - - - ❑ SCC SUBTOTAL$ 1700.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers periodCALIFORNIA to whole dollars. 7/1 /2022 • • t from - 9/24/2022 9 22 through Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER AMOUNT RECEIVED THIS CUMULATIVE TO DATE CALENDAR YEAR PER ELECTION TO DATE RECEIVED (IF COMMITTEE, ALSO CODE * (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1 - DEC. 31) (IF REQUIRED) OF BUSINESS) Jacob Panero PIND Burrtec Kern, LLC. 09/12/2022 16432 Manager 1000.00 1000.00 ❑OTH ❑ PTY ❑ SCC Mark Bigger VIIND Bigger & Harman, APC 09/10/2022 1701 ❑ PTY ❑ SCC Dan Corriea 0IND Weststar 09/10/2022 5760 sales 500.00 500.00 ❑ PTY ❑ SCC Dee Jaspar ©IND Dee Jaspar and 09/04/2022 2730 ❑❑ Engineers PTY ❑ SCC Bakersfield Hyundai ❑IND 9/22/2022 5300 1000.00 1000.00 EIOTH ❑ PTY - -- - — -- - ❑ SCC - - SUBTOTAL$ 3600.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772) Schedule A (Continuation Sheet) Type or print in ink. SCHEDULE A (CONT.) Monetary Contributions Received Amounts may be rounded Statement covers period to whole dollars. 7/1 /2022FORM' CALIFORNIA from 9/24/2022 10 22 through Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE FULL NAME, STREET ADDRESS AND ZIP CODE OF CONTRIBUTOR ADDRESS ANDZIPDE O CONTRIBUTOR IF AN INDIVIDUAL, ENTER AMOUNT CUMULATIVE TO DATE PER ELECTION RECEIVED (E COMMIT I.D.N CODE * OCCUPATION AND EMPLOYER RECEIVED THIS CALENDAR YEAR TO DATE . (IF SELF-EMPLOYED, ENTER NAME PERIOD (JAN. 1- DEC. 31) (IF REQUIRED) OF BUSINESS) Mary Vasinda ®❑COM IND Around the Clock Care 09/22/2022 ❑OTH ❑PTY ❑SCC Barbara Grimm Marshall WIND retired 09/22/2022 ❑❑OTH COM 2500.00 2500.00 ❑ PTY ❑ SCC Monika Freeman W IND housewife 09/22/2022 ❑❑CO 500.00 500.00 ❑ PTY ❑ SCC Diane Dhanens W IND Paul Dhanens Architect 09/22/2022 ❑❑CO Inc. Chief Operations 2500.00 2500.00 Officer ❑ PTY ❑ SCC Deborah Shick W IND housewife 09/23/2022 250.00 250.00 ❑OTH ❑ PTY - - - -- -- ❑ SCC SUBTOTAL $ 6750.00 *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 (January/05) FPPC Toll -Free Helpline: 866/ASK-FPPC (8661275-3772) SCHEDULE B - PART 1 Schedule B — Part 1 to whole dollars. Statement covers period Loans Received from 7/1/2022 CALIFORNIA 46 FORM through 9/24/2022 Page 11 of 22 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 FULL NAME, STREET ADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER a OUTSTANDING (b) AMOUNT c AMOUNT PAID OUTSTANDING e INTEREST ORIGINAL g CUMULATIVE OF LENDER OCCUPATION AND EMPLOYER BALANCE RECEIVED THIS OR FORGIVEN BALANCE AT PAID THIS AMOUNT OF CONTRIBUTIONS (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BEGINNING THISE PERIOD THIS PERIOD. OF CLOPERIOD HIS PERIOD LOAN TO DATE NAME OF BUSINESS) PERIOD ❑ PAID CALENDAR YEAR $ $ % $ $ RATE ❑ FORGIVEN PER ELECTION** DATE DUE DATE INCURRED t ❑ IND ❑ COM ❑ OTH ❑PTY ❑SCC ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION** $ $ $ $ $ y❑ DATE DUE DATE INCURRED ❑ IND ❑ COM ❑ OTH El ❑SCC tEl PAID CALENDAR YEAR $ $ % $ $ ❑ FORGIVEN PER ELECTION** RATE DATE DUE DATE INCURRED tEl IND ❑ COM ❑ OTH ❑ PTY ❑ SCC SUBTOTALS $ 0 $ 0 $ 0 $ 0 Schedule B Summary, _1. Loans_ received_ this period............................................................................. (Total Column (b) plus unitemized loans of less than $100.) - " 2. Loans paid or forgiven this period.................................................................. (Total Column (c) plus loans under $100 paid or forgiven.) (Include loans paid by a third party that are also itemized on Schedule A.) 3. Net change this period. (Subtract Line 2 from Line 1.)................................ Enter the net here and on the Summary Page, Column A, Line 2. *Amounts forgiven or paid by another party also must be reported on Schedule A. ** If required. .................................$ 0 .................................$ 0 ........................ NET $ 0 e (May be a negative number) (Enter (e) on Schedule E, Line 3) 1'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 B - PART 2 SCiieaule b — Fart 1 Hmoums may oe rounaea Statement covers period - , to whole dollars. • Loan Guarantors 7/1/2022 • from 9/24/2022 12 22 SEE INSTRUCTIONS ON REVERSE through Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 FULL NAME, STREETADDRESS AND ZIP CODE OF CONTRIBUTOR IFAN INDIVIDUAL, ENTER Li AMOUNT CUMULATIVE BALANCE CONTRIBUTOR * OCCUPATION AND EMPLOYER LOAN GUARANTEED OUTSTANDING (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE (IF SELF-EMPLOYED, ENTER NAME OF BUSINESS) THIS PERIOD TO DATE TO DATE LENDER CALENDAR YEAR ❑ IND ❑ COM s ❑ OTH ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC $ LENDER CALENDAR YEAR ❑ IND ❑ COM $ ❑ OTH DATE PER ELECTION ❑ PTY (IF REQUIRED) ❑ SCC $ CALENDAR YEAR LENDER ❑ IND ❑ COM ❑ OTH PER ELECTION ❑ PTY DATE (IF REQUIRED) ❑ SCC $ LENDER CALENDAR YEAR ❑ IND -- - - -❑ COM - s -- --- - ❑ OTH -- - ❑ PTY DATE PER ELECTION (IF REQUIRED) ❑ SCC $ Enter on SUBTOTAL $ 0 Summary Page, Line 17 only. FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule C Amounts may be rounded SCHEDULE C Nonmonetary Contributions Received "' .V"`"" �V"�'J Statement covers period CALIFORNIA 7/1/2022 from FORM • 01 J through 9/24/2022 Page 13 of 22 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE FULL NAME, STREET ADDRESS AND CONTRIBUTOR IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER DESCRIPTION OF AMOUNT/ CUMULATIVE TO DATE PER ELECTION RECEIVED ZIP CODE OF CONTRIBUTOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE* (IF SELF-EMPLOYED, ENTER GOODS OR SERVICES FAIR MARKET VALUE CALENDAR YEAR TO DATE (IF REQUIRED) NAME OF BUSINESS) (JAN 1 -DEC 31) ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC c ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC ❑ IND ❑ COM ❑ OTH ❑ PTY ❑ SCC Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ 0 Schedule C Summary Amount received this period — itemized nonmonetary contributions. (Include all Schedule C subtotals.)................................................................................................. 2. Amount received this period — unitemized nonmonetary contributions of less than $100 ............ 3. Total nonmonetary contributions received this period. (Add Lines 1 and 2. Enter here and on the Summary Page, Column A, Lines 4 and 10.)............. ..........$ 0 $0 TOTAL $ 0 *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 D SCHEDULE D Summary of Expenditures Amounts may be rounded statement covers period " to whole dollars. Supporting/Opposing Other 7/1/2022 • A � t . - Candidates, Measures and Committees from through 9/24/2022 14 22 SEE INSTRUCTIONS ON REVERSE Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR DESCRIPTION AMOUNT THIS CUMULATIVE TO DATE PER ELECTION DATE MEASURE NUMBER OR LETTER AND JURISDICTION, TYPE OF PAYMENT (IF REQUIRED) PERIOD CALENDAR YEAR TO DATE OR COMMITTEE (JAN. 1 - DEC. 31) (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 Schedule D Summary V 1. Itemized contributions and independent expenditures made this period. (Include all Schedule D subtotals.) ................................. 2. Unitemized contributions and independent expenditures made this period of under$100.............................................................. 3. Total contributions and independent expenditures made this period. (Add Lines 1 and 2. Do not enter on the Summary Page.) . FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule D (Continuation Sheet) Amounts may be rounded SCHEDULE D (CONT.) to whole dollars. Summary of Expenditures Supporting/Opposing Other Statement covers period p from 7/1/2022 . -A , . - Candidates, Measures and Committees through 9/24/2022 Page 15 of 22 NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 DATE NAME OF CANDIDATE, OFFICE, AND DISTRICT, OR MEASURE NUMBER OR LETTER AND JURISDICTION, OR COMMITTEE TYPE OF PAYMENT DESCRIPTION (IF REQUIRED) AMOUNT THIS PERIOD CUMULATIVE TO DATE CALENDAR YEAR (JAN. 1- DEC. 31) PER ELECTION TO.DATE (IF REQUIRED) ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure ❑ Monetary Contribution - - - - — ❑ Nonmonetary Contribution ❑ Independent ❑ Support ❑ Oppose Expenditure SUBTOTAL $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEE Schedule E Payments Made SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tim Collins for City Council - #7 - 2022 Amounts may be rounded to whole dollars. Statement covers period from 71/2022 through 9/24/2022 CODES: If one of the following codes accurately describes the payment, you may enter the code. Otherwise, describe the payment. Page 16 of 22 I.D. NUMBER 1452877 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 AMOUNT PAID Western Pacific Research, Inc CMP signs and stakes 2260.00 Payments that are contributions or independent expenditures must also be summarized on Schedule D. it SUBTOTAL $ 2260.00 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.) $ 2260.00 $ 50.00 $ 0 TOTAL $ 2310.00 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedule E Amounts may be rounded SCHEDULE E (CONT.) (Continuation Sheet) to whole dollars. Statement covers period Payments Made from 7/1/2022 - through 9/24/2022 17 22 SEE INSTRUCTIONS ON REVERSE (I Page of NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 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 RAID 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 AMOUNT PAID * Payments that are contributions or independent expenditures must also be summarized on Schedule D. SUBTOTAL $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov SCHEDULEF Schedule F Amounts may be rounded Accrued Expenses (Unpaid Bills) to whole dollars. SEE INSTRUCTIONS ON REVERSE NAME OF FILER Tim Collins for City Council - #7 - 2022 CODES: If one of the following codes accurately describes the payment, you may enter the code CMP campaign paraphernalia/misc. MBR member communications CNS campaign consultants MTG meetings and appearances CTB contribution (explain nonmonetary)* OFC office expenses CVC civic donations PET petition circulating FIL candidate filing/ballot fees PHO phone banks FND fundraising events POL polling and survey research IND independent expenditure supporting/opposing others (explain)* POS postage, delivery and messenger services LEG legal defense PRO professional services (legal, accounting) LIT campaign literature and mailings PRT print ads Statement covers period from 7/1/2022 through 9/24/2022 Page 18 of 22 I.D. NUMBER 1452877 Otherwise, describe the payment. RAD radio airtime and production costs RFD returned contributions SAL campaign workers' salaries TEL t.v. or cable airtime and production costs TRC candidate travel, lodging, and meals TRS staff/spouse travel, lodging, and meals TSF transfer between committees of the same candidate/sponsor VOT voter registration WEB information technology costs (internet, e-mail) NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD * Payments that are contributions or independent expenditures must also be SUBTOTALS $ 0 $ 0 $ 0 $ 0 summarized on Schedule D. _ Schedule F Summary 1. Total accrued expenses incurred this period. (Include all Schedule F, Column (b) subtotals for 0 accrued expenses of $100 or more, plus total unitemized accrued expenses under $100.) ............................................INCURRED TOTALS $ 2. Total accrued expenses paid this period. (Include all Schedule F, Column (c) subtotals for payments on 0 accrued expenses of $100 or more, plus total unitemized payments on accrued expenses under$100.).................................. PAID TOTALS $ 3. Net change this period. (Subtract Line 2 from Line 1. Enter the difference here and 0 onthe Summary Page. Column A. Line 9.)................................................................................................................................................................................... NET $ — May be a negative number FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov r) Schedule F (Continuation Sheet) Accrued Expenses (Unpaid Bills) Tim Collins for City Council - #7 - 2022 Amounts may be rounded to whole dollars. Statement covers period from 7/1/2022 through 9/24/2022 SCHEDULE F (CONT.) Page 19 of 22 I.D. NUMBER 1452877 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. NAME AND ADDRESS OF CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT (a) OUTSTANDING BALANCE BEGINNING OF THIS PERIOD (b) AMOUNT INCURRED THIS PERIOD (c) AMOUNT PAID THIS PERIOD (ALSO REPORT ON E) (d) OUTSTANDING BALANCE AT CLOSE OF THIS PERIOD (f SUBTOTALS $ 0 $ 0 $ 0 $ 0 FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Schedu&e G Payments Made by an Agent or Independent Contractor (on Behalf of This Committee) Amounts may be rounded to whole dollars. covers from 7/1/2022 SCHEDULE G through 9/24/2022 20 22 Page of SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 NAME OF AGENT OR INDEPENDENT CONTRACTOR Western Pacific Research 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) * Payments that are contributions or independent expenditures must also be summarized on Schedule D. V NAME AND ADDRESS OF PAYEE OR CREDITOR (IF COMMITTEE, ALSO ENTER I.D. NUMBER) CODE OR DESCRIPTION OF PAYMENT AMOUNT PAID The AdArt Company CMP campaign signs 1510.00 Parker Davis Co., Inc CMP stakes 600.00 Attach additional information on appropriately labeled continuation sheets. TOTAL* $ 2110.00 * Do not transfer to any other schedule or to the Summary Page. This total may not equal the amount paid to the agent or FPPC Form 460 (Jan/2016)) independent contractor as reported on Schedule E. FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov e, SCHEDULE H Schedule H Amounts may be rounded statement covers period • � ff ' to whole dollars. Loans Made to Others' from 7/1/2022 � • through 9/24/2022 Page 21 of 22 SEE INSTRUCTIONS ON REVERSE NAME OF FILER I.D. NUMBER Tim Collins for City Council - #7 - 2022 1452877 FULL NAME, STREETADDRESS AND ZIP CODE IF AN INDIVIDUAL, ENTER OCCUPATION AND EMPLOYER a OUTSTANDING b AMOUNT c REPAYMENT OR OUTSTANDING e ORIGINAL g CUMULATIVE OF RECIPIENT (IF COMMITTEE, ALSO ENTER I.D. NUMBER) (IF SELF-EMPLOYED, ENTER BALANCE BEGINNING THIS LOANED THIS FORGIVENESS BALANCEAT CLOSE OF THIS INTEREST RECEIVED AMOUNT OF LOANS NAME OF BUSINESS) PERIOD - THIS PERIOD' PERIOD LOAN TO DATE ❑ PAID CALENDARYEAR RATE ❑ FORGIVEN PER ELECTION** DATE DUE DATE INCURRED ❑ PAID CALENDAR YEAR RATE ❑ FORGIVEN PER ELECTION}* DATE DUE DATE INCURRED *Loans that are contributions to another candidate or committee must also be summarized on Schedule D. Loans forgiven must also be reported on Schedule E. SUBTOTALS $0 $ 0 $ 0 $ 0 (Enter (e) on Schedule I, Line 3) Schedule H Summary 1. Loans made this period................................................................................................................................... (Total Column (b) plus unitemized loans of less than'$100.) - - - - - 2. Payments received on loans........................................................................................................................... (Total Column (c) plus unitemized payments of less than $100.) 3. Net change this period. (Subtract Line 2 from Line 1.).................................................................................... (Enter the net here and on the Summary Page, Column A, Line 7.) $0 $0 NET $ 0 (May be a negative number) - **If-Required- FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www.fppc.ca.gov Cche�r1111a I __.. SCHFDULF I Miscellaneous Increases t0 Cash to whole dollars. SEE INSTRUCTIONS ON REVERSE Statement covers period ---I from 7/1/2022 through 9/24/2022 CALIFORNIA FORM Pa ga 22 of 22 NAME OF FILER Tim Collins for City Council - #7 - 2022 I.D. NUMBER 1452877 DATE RECEIVED FULL NAME AND ADDRESS OF SOURCE (IF COMMITTEE, ALSO ENTER I.D. NUMBER) DESCRIPTION OF RECEIPT AMOUNT OF INCREASE TO CASH Attach additional information on appropriately labeled continuation sheets. - - SUBTOTAL $ p - -- Schedule ummary 1. Itemized increases to cash this period . ........................................................................................................................... $ 0 2. Unitemized increases to cash of under $100 this period.......................................................................... 3. Total of all interest received this period on loans made to others. (Schedule H, Column (e).) ................ 4. Total miscellaneous increases to cash this period. (Add Lines 1, 2, and 3. Enter here and on the SummaryPage, Line 14.)........................................................................................................................ ................$ 0 0 $ — 0 TOTAL $ FPPC Form 460 (Jan/2016)) FPPC Advice: advice@fppc.ca.gov (866/275-3772) www_fnnc.ca.eov